Myopericarditis as a complication of severe influenza in a patient in the postpartum period
https://doi.org/10.36604/1998-5029-2023-88-127-134
Abstract
The spread of viral infections on the scale of epidemics and pandemics is appeared to be a heavy socioeconomic burden for society, which is primarily due to the growth of severe and complicated forms of the disease. The presence of complications from the cardiovascular system has been traced since the beginning of the first influenza pandemic in 1918 in Spain and has been consistently recorded in subsequent years. A clinical case of post-influenza myopericarditis that occurred in the postpartum period in a 39-year-old woman is described. The described clinical case demonstrates the importance of the clinical stage of diagnosis of myocarditis, and also demonstrates the possibility of successful use of systemic glucocorticosteroids in the absence of endomyocardial biopsy data. This clinical example represents a favorable outcome of viral myopericarditis, rapid regression of signs of heart failure against the background of complex therapy: a combination of standard therapy for chronic heart failure with immunosuppressive therapy.
About the Authors
I. V. DemkoRussian Federation
Irina V. Demko, MD, PhD, DSc (Med.), Professor, Head of Department of Hospital Therapy and Immunology with a Postgraduate Education Course; Head of Pulmonary Allergology Сenter,
1 Partizana Zheleznyaka Str., Krasnoyarsk, 660022;
3 Partizana Zheleznyaka Str., Krasnoyarsk, 660022
A. Yu. Kraposhina
Russian Federation
Angelina Yu. Kraposhina, MD, PhD (Med.), Associate Professor, Associate Professor of Department of Hospital Therapy and Immunology with a Postgraduate Education Course; Pulmonologist of Department of Pulmonology,
1 Partizana Zheleznyaka Str., Krasnoyarsk, 660022;
3 Partizana Zheleznyaka Str., Krasnoyarsk, 660022
M. G. Mamaeva
Russian Federation
Marina G. Mamaeva, MD, PhD (Med.), Associate Professor of Department of Hospital Therapy and Immunology with a Postgraduate Education Course; Pulmonologist of Department of Pulmonology,
1 Partizana Zheleznyaka Str., Krasnoyarsk, 660022;
3 Partizana Zheleznyaka Str., Krasnoyarsk, 660022
N. V. Gordeeva
Russian Federation
Natalya V. Gordeeva, MD, PhD (Med.), Associate Professor, Associate Professor of Department of Hospital Therapy and Immunology with a Postgraduate Education Course; Pulmonologist of Department of Pulmonology,
1 Partizana Zheleznyaka Str., Krasnoyarsk, 660022;
3 Partizana Zheleznyaka Str., Krasnoyarsk, 660022
A. B. Katser
Russian Federation
Anna B. Katser, Resident, Department of Hospital Therapy and Immunology with a Postgraduate Education Course
1 Partizana Zheleznyaka Str., Krasnoyarsk, 660022;
Yu. I. Abramov
Russian Federation
Yuri I. Abramov, Resident, Department of Outpatient Therapy and General Practice with a Postgraduate Education Course,
1 Partizana Zheleznyaka Str., Krasnoyarsk, 660022
References
1. Ziegler T., Mamahit A., Cox N.J. 65 years of influenza surveillance by a World Health Organization-coordinated global network. Influenza Other Respir. Viruses 2018; 12(5):558–565. https://doi.org/10.1111/irv.12570. PMID: 29727518; PMCID: PMC6086847.
2. Chikhireva L.N., Chikhirev O.A., Pikin D.A., Bychkova O.P., Cherkashov A.M., Belenkov Yu.N. [Myopericaditis as a late manifestation of the probable COVID-19]. Kardiologiia 2020; 60(8):27–32 (in Russian). https://doi.org/10.18087/cardio.2020.8.n1232
3. Zhou R. Does SARS-CoV-2 cause viral myocarditis in COVID-19 patients? Eur. Heart J. 2020; 41(22):2123. https://doi.org/10.1093/eurheartj/ehaa392. PMID: 32363381; PMCID: PMC7197576.
4. Arutyunov G.P., Paleev F.N., Moiseeva O.M., Dragunov D.O., Sokolova A.V., Arutyunov A.G., Zhirov I.V., Blagova O.V., Privalova E.V., Gabrusenko S.A., Garganeeva A.A., Gendlin G.E., Gilyarevsky S.R., Duplyakov D.V., Zairatiants O.V., Karateev D.E., Koziolova N.A., Kosmacheva E.D., Kochetov A.G., Lopatin Yu.M., Melekhov A.V., Mitrofanova L.B., Narusov O.Yu., Nasonova S.N., Nedostup A.V., Nikulina S.Yu., Orlova Y.A., Poteshkina N.G., Rebrov A.P., Saidova M.A., Sedov V.P., Sinitsyn V.E., Sitnikova M.Yu., Skvortsov A.A., Skibitsky V.V., Stukalova O.V., Tarlovskaya E.I., Tereshchenko S.N., Usov V.Yu., Famin I.V., Chesnikova A.I., Shaposhnik I.I., Shostak N.A. [2020 Clinical practice guidelines for Myocarditis in adults]. Russian Journal of Cardiology 2021; 26(11):4790 (in Russian).https://doi.org/10.15829/1560-4071-2021-4790
5. Oschepkova O.B., Tsybulkin N.A., Frolova E.B., Rudnitskaya L.A. [Viral myocarditis in cardiologist practice]. The Bulletin of Contemporary Clinical Medicine 2019; 12(4):68–74 (in Russian). https://doi.org/10.20969/VSKM.2019.12(4).68-74
6. Blagova O.V., Nedostup A.V. [Contemporary masks of the myocarditis (from clinical signs to diagnosis)]. Russian Journal of Cardiology 2014; (5):13–22 (in Russian). https://doi.org/10.15829/1560-4071-2014-5-13-22
7. Radovanovic M., Petrovic M., Barsoum M.K., Nordstrom C.W., Calvin A.D., Dumic I., Jevtic D., Hanna R.D. Influenza Myopericarditis and Pericarditis: A Literature Review. J. Clin. Med. 2022; 11(14):4123. https://doi.org/10.3390/jcm11144123. PMID: 35887887; PMCID: PMC9316162.
8. Blagova O.V., Moiseeva O.M., Paleev F.N. [Controversial and open issues of diagnosis and treatment of myocarditis (based on the discussion of Russian national recommendations)]. Russian Journal of Cardiology 2021; 26(11):4655. https://doi.org/10.15829/1560-4071-2021-4655
9. Mairina S.V., Titov V.A., Mitrofanova L.B., Pavlova E.S., Bortsova M.A., Semenov A.P., Moiseeva O.M. [Effectiveness of immunosuppressive therapy for lymphocytic myocarditis according: data from actual clinical practice]. Russian Journal of Cardiology 2021; 26(11):4696 (in Russian). https://doi.org/10.15829/1560-4071-2021-4696
10. Blagova O.V., Nedostup A.V., Sedov V.P., Zaitsev A.Yu., Novosadov V.M., Kogan E.A. [Effectiveness of myocarditis therapy depending on the diagnosis approach (with or without myocardial biopsy)]. Cardiovascular Therapy and Prevention 2021; 20(3):2637 (in Russian) https://doi.org/10.15829/1728-8800-2021-2637
11. Mitrofanova L.B., Galkovsky B.E., Danilova I.A., Lebedev D.S. [Rationale for endomyocardial biopsy in the diagnosis of heart disease in children and adults]. Russian Journal of Cardiology 2021; 26(11):4710 (in Russian). https://doi.org/10.15829/1560-4071-2021-4710
12. Blagova O.V., Sulimov V.A., Nedostup A.V., Kogan E.A. [Myocardial biopsy in general care clinic: patients selection, the results, significance for treatment strategy]. Russian Journal of Cardiology 2015; (5):82–92 (in Russian). https://doi.org/10.15829/1560-4071-2015-5-82-92
Review
For citations:
Demko I.V., Kraposhina A.Yu., Mamaeva M.G., Gordeeva N.V., Katser A.B., Abramov Yu.I. Myopericarditis as a complication of severe influenza in a patient in the postpartum period. Bulletin Physiology and Pathology of Respiration. 2023;(88):127-134. (In Russ.) https://doi.org/10.36604/1998-5029-2023-88-127-134