Citation Information :
Thomas TP, Kumar S, Kiran R, Sabu V, Gaffoor A. A Rare Presentation of Fulminant Viral Myocarditis Associated with H1N1: A Series of Four Cases. Indian J Crit Care Med 2019; 23 (11):538-541.
The viral infection during influenza includes several complications like primary pneumonitis, ARDS, bacterial pneumonia, otitis media along with severe increase in the ongoing chronic conditions. Fulminant myocarditis as a primary manifestation of H1N1 is rare. We are reporting four cases that developed fulminant viral myocarditis caused by the H1N1 strain of influenza. These four cases were reported between October 2018 and November 2018, during the post-flood time in Kerala.
Seasonal influenza and influenza A (H1N1), http://www.who.int/ith/diseases/si_iAh1n1/en/.
Bratincsák A, El-Said HG, Bradley JS, Shayan K, Grossfeld PD, Cannavino CR. Fulminant myocarditis associated with pandemic H1N1 influenza A virus in children. J Am Coll Cardiol 2010;55(9): 928–929. DOI: 10.1016/j.jacc.2010.01.004.
Hékimian G, Jovanovic T, Bréchot N, Lebreton G, Leprince P, Trouillet JL, et al. When the heart gets the flu: fulminant influenza B myocarditis: a case-series report and review of the literature. J Crit Care 2018;47:61–64. DOI: 10.1016/j.jcrc.2018.06.001.
Mamas MA, Fraser D, Neyses L. Cardiovascular manifestations associated with influenza virus infection. Int J Cardiol 2008;130(3): 304–309. DOI: 10.1016/j.ijcard.2008.04.044.
Cooper Jr LT. Myocarditis. N Engl J Med 2009;360(15):1526–1538. DOI: 10.1056/NEJMra0800028.
Ukimura A, Satomi H, Ooi Y, Kanzaki Y. Myocarditis associated with influenza a H1N1pdm2009. Influenza Res Treat 2012;2012:351979. DOI: 10.1155/2012/351979.
Kato S, Morimoto S, Hiramitsu S, Nomura M, Ito T, Hishida H. Use of percutaneous cardiopulmonary support of patients with fulminant myocarditis and cardiogenic shock for improving prognosis. Am J Cardiol 1999;83(4):623–625. DOI: 10.1016/s0002-9149(98)00931-x.
Lobo ML, Taguchi Â, Gaspar HA, Ferranti JF, de Carvalho WB, Delgado AF. Fulminant myocarditis associated with the H1N1 influenza virus: case report and literature review. Rev Bras Ter Intensiva 2014;26(3):321–326.
