Korean J Med.  2014 Oct;87(4):461-465. 10.3904/kjm.2014.87.4.461.

Acute Pericarditis with Pericardial Effusion That Developed after Swine Influenza A (H1N1) Infection in a Healthy Adult

• Oh CH
• Kim JB
• Kim YJ
• Lee T
• Byun JK
• Kim KS
• Kim WS

• KMID: 2269222
• DOI: http://doi.org/10.3904/kjm.2014.87.4.461

Abstract

A 21-year-old male with no any other diseases presented with fever, chills, and chest discomfort. A chest radiography scan and a transthoracic echocardiogram revealed a large amount of pericardial effusion. An H1N1 viral real-time PCR test confirmed the presence of H1N1 viral infection. Pericardiocentesis was performed to reduce symptoms, and oseltamivir (Tamiflu(TM)) was administered. His symptoms improved during the first 4 days, and there was no relapse of the pericardial effusion. The most common manifestation of influenza A infection is respiratory tract infection. Although a cardiovascular manifestation is possible, it is extremely rare. We have reported here a case of acute pericarditis with a large amount of pericardial effusion in a healthy adult infected with influenza A virus (H1N1, swine-origin).

Keyword

Pericarditis; Pericardial effusion; Influenza A virus, H1N1 subtype

MeSH Terms

Adult*
Chills
Fever
Humans
Influenza A virus
Influenza A Virus, H1N1 Subtype
Influenza, Human*
Male
Oseltamivir
Pericardial Effusion*
Pericardiocentesis
Pericarditis*
Radiography
Real-Time Polymerase Chain Reaction
Recurrence
Respiratory Tract Infections
Swine*
Thorax
Young Adult
Oseltamivir