Cardiogenic shock associated with acute norovirus gastroenteritis: what is needed to prove causality?
  • Abbie Evans
    Internal Medicine Department, Texas Tech University Health Sciences Center, Lubbock, Texas, USA
  • Juthipong Benjanuwattra
    Internal Medicine Department, Texas Tech University Health Sciences Center, Lubbock, Texas, USA
  • Barbara Mora
    Internal Medicine Department, Texas Tech University Health Sciences Center, Lubbock, Texas, USA
  • Mahmoud Abdelnabi
    Internal Medicine Department, Texas Tech University Health Sciences Center, Lubbock, Texas, USA

Keywords

Myocarditis, gastroenteritis, enteric viruses, norovirus

Abstract

Acute myocarditis is a well-recognized condition attributable to a variety of viral illnesses. Common viral aetiologies include enteroviruses including coxsackie, adenovirus, influenza, echovirus, parvovirus B19 and herpesvirus. A high index of suspicion, early diagnosis, and prompt management with supportive anti-failure measures, and in selected cases immunosuppressive therapies including high-dose steroids, might be considered for better outcomes. The authors report a case of sudden onset of acute heart failure complicated by cardiogenic shock caused by viral myocarditis in a patient who initially presented with norovirus gastroenteritis. She had no previous cardiac history or significant cardiovascular risk factors. Prompt medical management for cardiogenic shock for norovirus-induced myocarditis was started, her symptoms gradually improved, and she was discharged safely on regular follow-up.

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    Published: 2023-02-28
    Issue: 2023: Vol 10 No 2 (view)


    How to cite:
    1.
    Evans A, Benjanuwattra J, Mora B, Abdelnabi M. Cardiogenic shock associated with acute norovirus gastroenteritis: what is needed to prove causality?. EJCRIM 2023;10 doi:10.12890/2023_003759.

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