Abstract

Myocarditis, an inflammatory disease of heart muscle, is an important cause of dilated cardiomyopathy worldwide. Viral infection is an important cause of myocarditis. This condition presents with various symptoms, ranging from minimally symptomatic cases to fatal arrhythmia and cardiogenic shock, and may develop chronic myocarditis and dilated cardiomyopathy in some patients. We report the case of a 26-year-old patient with acute viral hepatitis E who developed symptomatic myocarditis. As far as we could search, this is probably the 3rd case report of this rare association.

Highlights

  • Viral hepatitis associated with complications like cholestasis, arthritis, nephropathy, myocarditis, and peripheral neuropathy [1, 2]

  • Viral myocarditis presents with various symptoms, ranging from minimally symptomatic cases to fatal arrhythmia and cardiogenic shock, and may develop chronic myocarditis and dilated cardiomyopathy in some patients [3, 4]

  • We report a case of probable myocarditis secondary to hepatitis E

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Summary

Introduction

Viral hepatitis associated with complications like cholestasis, arthritis, nephropathy, myocarditis, and peripheral neuropathy [1, 2]. Viral myocarditis presents with various symptoms, ranging from minimally symptomatic cases to fatal arrhythmia and cardiogenic shock, and may develop chronic myocarditis and dilated cardiomyopathy in some patients [3, 4]. Hepatitis E is endemic in India, and outbreaks occur following flooding and breakdown of sanitation barriers in monsoon [5, 6]. We report a case of probable myocarditis secondary to hepatitis E. As far as we could search, this is probably the 3rd case report of this rare association [7, 8]. We report two similar cases with viral hepatitis E with suspected myocarditis

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