
pmid: 20803176
A 5 1/2-yr-old boy presented with high grade fever for 4 days, and cervical adenitis, body ache, arthralgia, followed by sudden onset of breathlessness. He had clinical, electrocardiographic and echo evidence of myocarditis and congestive cardiac failure. An enzyme-linked immunosorbent assay (MAC-IgM ELISA) with serum collected 5 days after disease onset showed IgM antibodies to CHIKV. He was managed conservatively and started showing symptomatic improvement by 3 days. At discharge, a repeat Echocardiogram (a week later) showed normal left ventricular (LV) function with mild Mitral regurgitation. On follow up, after 2 months, child remains asymptomatic. Other common aetiological agents were screened for and found negative. This may indicate a probable cardiac tropism for the virus.
Heart Failure, Male, Myocarditis, Viral Tropism, Alphavirus Infections, Child, Preschool, Chikungunya Fever, Humans, India, Disease Outbreaks
Heart Failure, Male, Myocarditis, Viral Tropism, Alphavirus Infections, Child, Preschool, Chikungunya Fever, Humans, India, Disease Outbreaks
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