Korean Circ J.  2010 Oct;40(10):539-542. 10.4070/kcj.2010.40.10.539.

Constrictive Pericarditis Accompanied by Swine-Origin Influenza A (H1N1) Infection

• Jang JY
• Chang HJ
• Jang Y
• Han SH
• Bang WD
• Cho SS
• Oh CM
• Yu HT
• Shim CY
• Ha JW
• Chung N

• KMID: 1826145
• DOI: http://doi.org/10.4070/kcj.2010.40.10.539

Abstract

Swine-origin influenza A (H1N1) is caused by a new strain of the influenza virus. The disease has spread rapidly and was declared a pandemic in April, 2009. So far, however, there is a scarcity of information regarding the complications of swine influenza. A report of the disease in the winter of 2009 in the Southern Hemisphere found that the most common manifestations of influenza A virus infection are upper respiratory tract infection and pneumonia. Although there may be an association between fulminant myocarditis and Swine influenza, cardiovascular complications resulting from swine Influenza A infection are exceedingly rare. We report a case of acute constrictive pericarditis in a healthy subject infected by the swine-origin influenza A (H1N1) virus.

Keyword

Pericarditis, constrictive; Swine-origin influenza A (H1N1) virus

MeSH Terms

Influenza A virus
Influenza, Human
Myocarditis
Orthomyxoviridae
Pandemics
Pericarditis, Constrictive
Pneumonia
Respiratory Tract Infections
Sprains and Strains
Swine
Viruses

Figure

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  Fig. 1 Electrocardiogram in acute pericarditis. Diffuse ST segment elevation (A) 8 days after hospitalization, normalized ST segment (B).

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  Fig. 2 Mitral inflow pulse wave Doppler recording in constrictive pericarditis along with simultaneous recording of respiration. Onset of inspiration at upward deflection and onset of expiration at downward deflection.

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  Fig. 3 Computed tomogram of the chest showing increased pericardial thickness and pleural effusion. Minimal pericardial effusion without calcification on computer tomography which resolved after 2 months of medical treatment. A: at admission. B: after treatment.

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