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Three Cases of Myocarditis in Childhood Associated with Human Parvovirus (B19 Virus)

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Abstract

We report three childhood cases of myocarditis associated with human parvovirus (B19 virus). All three children presented with significant cardiac decompensation, with one requiring extracorporeal membrane oxygenation support. Left ventricular function was severely impaired in all three. Myocardial biopsy confirmed histological myocarditis and was positive for B19 virus by nested polymerase chain reaction. Serum was positive for IgG B19 virus but negative for IgM in all three cases. All three children were treated with diuretics, ACE inhibitors, and immunosuppression. Prednisone and cyclosporin were continued until there was echocardiographic and histological improvement. All made a full clinical and echocardiographic recovery.

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Acknowledgements

We thank Barbara Semb for secretarial assistance.

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Authors and Affiliations

  1. Department of Paediatric Cardiology, Green Lane Hospital, Private Bag 92 189, Green Lane West, Auckland 1030, New Zealand

    K. Munro & N. J. Wilson

  2. Department of Virology and Immunology, Auckland Public Hospital, Auckland 1030, New Zealand

    M. C. Croxson & S. Thomas

Authors
  1. K. Munro
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  2. M. C. Croxson
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  3. S. Thomas
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  4. N. J. Wilson
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Correspondence to N. J. Wilson.

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Munro, K., Croxson, M., Thomas, S. et al. Three Cases of Myocarditis in Childhood Associated with Human Parvovirus (B19 Virus) . Pediatr Cardiol 24, 473–475 (2003). https://doi.org/10.1007/s00246-002-0173-9

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  • DOI: https://doi.org/10.1007/s00246-002-0173-9

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