Korean J Nephrol.  2004 May;23(3):488-491.

A Case of Acute Myocardial Infarction in a Patient with Hemorrhagic Fever with Renal Syndrome

• Kim SS
• Yoon SA
• Kim YS
• Song JC
• Kim HJ
• Chang ST
• Kim YO
• Chang YS
• Bang BK

Abstract

Hemorrhagic fever with renal syndrome (HFRS) causes arrythmia, myocarditis, atrial hemorrhage, and heart failure as a cardiac complication. But, acute myocardial infarction has not been reported yet in patient with HFRS. We here report a case of acute myocardial infarction in a young adult with HFRS. A 43-year-old man was admitted with high fever and petechiae in the trunk and extremities. He had no history of hypertension, heart disease, and diabetes mellitus. Initial electrocardiographic finding was normal. On the 4th hospital days, sudden cardiac arrest developed and he recovered promptly with cardioversion. After recovery, electrocardiography revealed ST segment elevation in II, III, and aVF. Cardiac enzymes (CPK, LDH, CK-MB, and troponin-I) were also elevated. Echocardiography showed akinesia of inferior wall of heart. He was treated with continuous veno-venous hemodiafiltraion but he expired due to multiorgan failure on the 12th hospital days.

Keyword

Hemorrhagic fever with renal syndrome; Hantaan virus; Acute myocardial infarction

MeSH Terms

Adult
Arrhythmias, Cardiac
Death, Sudden, Cardiac
Diabetes Mellitus
Echocardiography
Electric Countershock
Electrocardiography
Extremities
Fever
Hantaan virus
Heart
Heart Diseases
Heart Failure
Hemorrhage
Hemorrhagic Fever with Renal Syndrome*
Humans
Hypertension
Myocardial Infarction*
Myocarditis
Purpura
Young Adult