Coxsackie B Virus-Induced Cardiac Tamponade and Adrenal Insufficiency

We report a case involving a young male patient without a significant medical history who exhibited symptoms of fatigue, shortness of breath, chest and back pain, and syncope with vomiting. He was found to have adrenal insufficiency and cardiac tamponade requiring pericardiocentesis. Further inpatie...

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Bibliographic Details
Published inCurēus (Palo Alto, CA) Vol. 15; no. 9
Main Authors Jeong, Su Hyun, Fuentes, Fernando J
Format Journal Article
LanguageEnglish
Published Palo Alto Cureus Inc 14.09.2023
Cureus
Subjects
Adrenal glands
Cardiac arrhythmia
Cardiology
Case reports
Cell cycle
Electrocardiography
Endocrine system
Heart
Hormones
Hypoglycemia
Infections
Infectious Disease
Internal Medicine
Medicine
Pancreatitis
Pathophysiology
Pericarditis
Tomography
United States > US
Nevada
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Summary:We report a case involving a young male patient without a significant medical history who exhibited symptoms of fatigue, shortness of breath, chest and back pain, and syncope with vomiting. He was found to have adrenal insufficiency and cardiac tamponade requiring pericardiocentesis. Further inpatient workup revealed the patient had positive IgM and IgG antibody titers for the coxsackie B virus, which we believe caused his presentation. The coxsackie B virus strain can cause mild gastrointestinal to more severe cardiac and neurological complications, including meningitis and myocarditis. On rare occasions, the virus can appear in an unexpected fashion, such as in cardiac tamponade or hormonal disruption. This case raises attention to the broad manifestations of the virus and recognizing its more uncommon presentations.
ISSN:2168-8184
2168-8184
DOI:10.7759/cureus.45272