呼吸道合胞病毒致新生儿心肌炎性急性扩张型心肌病：病例报告及文献复习
Rhinovirus as a rare cause of acute onset dilated cardiomyopathy due to myocarditis in a newborn: case report and review of the literature.
机构信息
Departments of Neonatology, Haseki Training and Research Hospital, İstanbul, Turkey.
Departments of Pediatric Cardiology, Haseki Training and Research Hospital, İstanbul, Turkey.
出版信息
Turk J Pediatr. 2022;64(1):142-146. doi: 10.24953/turkjped.2020.3664.
BACKGROUND
Cardiomyopathies account for 1% of cardiac diseases that mainly originate from myocarditis in the form of dilated cardiomyopathy in the neonatal period. Viruses are the main cause of myocarditis resulting in dilated cardiomyopathy. Rhinovirus is the leading cause of viral respiratory infections though it is rarely severe.
CASE
We report a 17 day old newborn with acute onset dilated cardiomyopathy due to myocarditis that developed after a viral respiratory infection caused by Rhinovirus who was admitted to the emergency ward with shock due to heart failure and recovered without any complications. This is the first case reporting the causal role of rhinovirus and myocarditis in the neonatal period.
CONCLUSIONS
A comprehensive approach is needed for the diagnosis of myocarditis in the case of unknown etiology and an extensive respiratory panel may be taken into consideration if there is a history or clinical symptoms of respiratory infection.
背景
心肌病占心脏病的 1%，主要由心肌炎引起，以新生儿扩张型心肌病的形式出现。病毒是导致心肌炎和扩张型心肌病的主要原因。鼻病毒虽然很少很严重，但却是病毒性呼吸道感染的主要病原体。
病例
我们报告了一例 17 天大的新生儿，因鼻病毒引起的病毒性呼吸道感染后发生心肌炎，导致急性扩张型心肌病，因心力衰竭导致休克收入急诊病房，最终未经任何并发症而康复。这是首例报告鼻病毒和心肌炎在新生儿期的因果关系的病例。
结论
对于病因不明的心肌炎，需要综合的诊断方法，如果有呼吸道感染的病史或临床症状，可能需要考虑进行广泛的呼吸道检测。
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