Hopkins Kali A, Abdou Mahmoud H, Hadi M Azam
Tex Heart Inst J. 2019 Feb 1;46(1):32-35. doi: 10.14503/THIJ-17-6361. eCollection 2019 Feb.
Infections from coxsackie B2 viruses often cause viral myocarditis and, only rarely, multisystem organ impairment. We present the unusual case of a 42-year-old man in whom coxsackie B2 virus infection caused multiorgan infection, necessitating distal pancreatectomy, splenectomy, renal dialysis, and venoarterial extracorporeal membrane oxygenation with mechanical ventilation. In addition, the patient had a rapid-eye-movement sleep-related conduction abnormality that caused frequent sinus pauses of longer than 10 s, presumably due to myocarditis from the coxsackievirus infection. He recovered after permanent pacemaker placement and was discharged from the hospital. We discuss our aggressive supportive care and the few other reports of multiorgan impairment from coxsackieviruses.
柯萨奇B2病毒感染常引发病毒性心肌炎，很少导致多系统器官损害。我们报告了一例罕见病例，一名42岁男性，柯萨奇B2病毒感染导致多器官感染，需要进行远端胰腺切除术、脾切除术、肾透析以及静脉-动脉体外膜肺氧合并机械通气。此外，该患者存在快速眼动睡眠相关的传导异常，导致频繁出现超过10秒的窦性停搏，推测是由柯萨奇病毒感染引起的心肌炎所致。在植入永久性起搏器后他康复并出院。我们讨论了积极的支持性治疗以及其他几例柯萨奇病毒引起多器官损害的报告。
