@article{10.11648/j.sjcm.20150402.12,
  author = {Beatriz Cruz Barcelos and Luis Felipe Silveira Santos and Nathalia Antônio Monteiro de Castro and Ana Paula Silveira Menezes and Tufik José Geleilete and Reinaldo Bugarelli Bestetti and Rosemary Aparecida Furlan Daniel},
  title = {Acute Pericarditis and Viral Infection},
  journal = {Science Journal of Clinical Medicine},
  volume = {4},
  number = {2},
  pages = {29-31},
  doi = {10.11648/j.sjcm.20150402.12},
  url = {https://doi.org/10.11648/j.sjcm.20150402.12},
  eprint = {https://article.sciencepublishinggroup.com/pdf/10.11648.j.sjcm.20150402.12},
  abstract = {Introduction: Hantaviruses is a disease of fever character caused by the virus, RNA from simple tape, of the Bunyaviridae family. Hantaviruses may occur in two clinical types: 1) hemorrhagic fever with renal syndrome in Europe and Asia; 2) cardiopulmonary syndrome by hantaviruses only in Americas. Acute pericarditis is a clinical syndrome with the following characteristics: chest pain, pericardium friction and evolutive alterations of repolarization in the electrocardiogram. The most common etiology is idiopathic and viral. Case report: A man, 38 years old, living at the rural area, with myalgia, arthralgia, fever, loss of appetite, diarrhea, dry cough, chronic headache and retroorbital pain for 5 days. He was diagnosed with classical dengue, so, he received medical treatment with oral hydratation and symptomatical. He went to the Emergency Unit Care - Ribeirão Preto in the 6th day of symptoms, because of the worsening in his clinical condition, with the diagnosis hypothesis of Syndrome of Dengue Shock. Though, serology for dengue was negative. With this result and for the fact that the patient lived in a rural area a survey about the presence of Hantaviruses was made. As the result for the serology had positive for Hantaviruses. With the diagnosis for Cardiopulmonary Syndrome and Pericarditis for Hantaviruses it was made a clinical support to maintain the vital functions, with emphasis in oxygenation and observing the respiratory functions. The patient had satisfactory evolution in the clinical condition. Discussion: Ribeirão Preto is an endemic area for Dengue. Dengue is a fever disease that in its initial phase, has common symptoms with other diseases, like Hantaviruses. This case refers to a patient with clinic and laboratorial exams compatible with Dengue. Though, with the worsening of his symptoms, and the Hypothesis of Shock Syndrome Dengue, treatment began according to the preconizing protocol and the Electrocardiogram identified alterations of repolarization, and the echocardiography was indicated, where the pericardial effusion was evident. Pericarditis was not mentioned as a complication of cardiopulmonary syndrome by hantaviruses. Conclusion: In this report we introduced the case of a patient initially medicated for Dengue and after had Hantaviruses confirmed. EKG helped in the identification and the severity of the illness and the sorological exams defined the infection. Only the clinical board and the epidemiology can't be used for the diagnosis of Dengue. Serology survey is getting more important for these pathologies not being sub notifcated and not treated correctly and conveniently.},
 year = {2015}
}

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TY  - JOUR
T1  - Acute Pericarditis and Viral Infection
AU  - Beatriz Cruz Barcelos
AU  - Luis Felipe Silveira Santos
AU  - Nathalia Antônio Monteiro de Castro
AU  - Ana Paula Silveira Menezes
AU  - Tufik José Geleilete
AU  - Reinaldo Bugarelli Bestetti
AU  - Rosemary Aparecida Furlan Daniel
Y1  - 2015/03/08
PY  - 2015
N1  - https://doi.org/10.11648/j.sjcm.20150402.12
DO  - 10.11648/j.sjcm.20150402.12
T2  - Science Journal of Clinical Medicine
JF  - Science Journal of Clinical Medicine
JO  - Science Journal of Clinical Medicine
SP  - 29
EP  - 31
PB  - Science Publishing Group
SN  - 2327-2732
UR  - https://doi.org/10.11648/j.sjcm.20150402.12
AB  - Introduction: Hantaviruses is a disease of fever character caused by the virus, RNA from simple tape, of the Bunyaviridae family. Hantaviruses may occur in two clinical types: 1) hemorrhagic fever with renal syndrome in Europe and Asia; 2) cardiopulmonary syndrome by hantaviruses only in Americas. Acute pericarditis is a clinical syndrome with the following characteristics: chest pain, pericardium friction and evolutive alterations of repolarization in the electrocardiogram. The most common etiology is idiopathic and viral. Case report: A man, 38 years old, living at the rural area, with myalgia, arthralgia, fever, loss of appetite, diarrhea, dry cough, chronic headache and retroorbital pain for 5 days. He was diagnosed with classical dengue, so, he received medical treatment with oral hydratation and symptomatical. He went to the Emergency Unit Care - Ribeirão Preto in the 6th day of symptoms, because of the worsening in his clinical condition, with the diagnosis hypothesis of Syndrome of Dengue Shock. Though, serology for dengue was negative. With this result and for the fact that the patient lived in a rural area a survey about the presence of Hantaviruses was made. As the result for the serology had positive for Hantaviruses. With the diagnosis for Cardiopulmonary Syndrome and Pericarditis for Hantaviruses it was made a clinical support to maintain the vital functions, with emphasis in oxygenation and observing the respiratory functions. The patient had satisfactory evolution in the clinical condition. Discussion: Ribeirão Preto is an endemic area for Dengue. Dengue is a fever disease that in its initial phase, has common symptoms with other diseases, like Hantaviruses. This case refers to a patient with clinic and laboratorial exams compatible with Dengue. Though, with the worsening of his symptoms, and the Hypothesis of Shock Syndrome Dengue, treatment began according to the preconizing protocol and the Electrocardiogram identified alterations of repolarization, and the echocardiography was indicated, where the pericardial effusion was evident. Pericarditis was not mentioned as a complication of cardiopulmonary syndrome by hantaviruses. Conclusion: In this report we introduced the case of a patient initially medicated for Dengue and after had Hantaviruses confirmed. EKG helped in the identification and the severity of the illness and the sorological exams defined the infection. Only the clinical board and the epidemiology can't be used for the diagnosis of Dengue. Serology survey is getting more important for these pathologies not being sub notifcated and not treated correctly and conveniently.
VL  - 4
IS  - 2
ER  - 

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