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Case Reports
. 2022 May 31;22(1):508.
doi: 10.1186/s12879-022-07454-8.

Myopericarditis associated with acute Zika virus infection: a case report

Camila Helena Aguiar Bôtto-Menezes  1   2 , Izabella Picinin Safe  3   4 , Ana Cláudia da Cunha Ferreira  5 , Katia do Nascimento Couceiro  4 , Armando Menezes Neto  6 , Rafael Freitas Oliveira Franca  6 , Guilherme Amaral Calvet  7 , Ana Maria Bispo de Filippis  8 , Edna Oliveira Kara  9 , Marcia da Costa Castilho  3 , Michele Souza Bastos  3 , Carlos Alexandre Antunes de Brito  6 , Kayvon Modjarrad  10 , Nathalie Jeanne Nicole Broutet  9 , Patrícia Brasil  7 , Ludhmila Abrahão Hajjar  11 , Marcus Vinícius Guimarães de Lacerda  3   12 ; ZIKABRA Study Team
Affiliations
Case Reports

Myopericarditis associated with acute Zika virus infection: a case report

Camila Helena Aguiar Bôtto-Menezes et al. BMC Infect Dis. .

Abstract

Background: Zika virus infection is commonly described as a mild and self-limiting illness. However, cardiac complications were associated with acute Zika virus infection.

Case presentation: A 46-year-old woman without previous comorbidities with a 1-day history of symptoms tested positive for ZIKV by real time reverse transcriptase polymerase chain reaction (rRT-PCR). She was admitted two days after with clinical worsening, cardiac enzymes elevated, and cardiac imaging findings, and the diagnosis of myopericarditis was made. The patient was treated and presented significant clinical improvement after one year.

Conclusions: Cardiac complication following ZIKV infection appears to be infrequent. Here, we report a rare case of viral myopericarditis caused by ZIKV infection.

Keywords: Cardiac; Heart; Myopericarditis; Myopericarditis virus-induced; Zika.

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Conflict of interest statement

The authors declare no competing interests.

Figures

Fig. 1
Fig. 1
A cMRI of the heart in the FIESTA sequence in the four-chamber plane demonstrating pericardial effusion (green arrows). B cMRI of the heart in the FIESTA sequence in the short-axis demonstrating slight change in myocardial signal intensity (green arrow). C cMRI of the heart in the FIESTA sequence in the four-chamber plane, 1-year evolutionary control, demonstrating significant improvements in pericardial effusion. D cMRI of the heart in the FIESTA sequence in the short-axis, 1-year evolutionary control, demonstrating slight change in myocardial signal intensity (green arrow)
See this image and copyright information in PMC

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