Miopericarditis por enterovirus asociada con rabdomiolisis e insuficiencia renal

Abstract

Se presenta el caso de un paciente de 49 años que ingresa con odinofagia, fiebre y dolor abdominal. Se agrega luego disnea y polimialgias. Se constata derrame pericárdico con insuficiencia renal asociada y signos de rabdomiolisis.Debido a taponamiento cardíaco se decide drenaje quirúrgico.Las muestras tomadas fueron negativas para bacterias y hongos,detectándose la presencia de enterovirus en líquido pericárdico.

(EN) We present the case of a 49 year old man who was admitted with odynophagia, fever and abdominal pain. Later he developed dyspnea and polymialgias. Pericardial effusion was detected on the echocardiogram. Renal failure and rhabdomyolysis developed worsening the clinical picture. A pericardial surgical drainage was decided due to cardiac tamponade . All samples were negative for bacteria and fungi. The presence of enterovirus in pericardial fluid was confirmed.