Key result
A healthy 20-year-old female unexpectedly developed and survived severe ARDS, septic shock, and myocarditis following suspected Coxsackie B viral gastroenteritis.
Case Report (n=1)
This case highlights the potential for suspected Coxsackie B gastroenteritis to rapidly progress to septic shock, myocarditis, and severe ARDS, emphasizing the importance of early risk assessment.
Alerts clinicians to monitor young adults with viral gastroenteritis for rapid deterioration; leaves open predictors of progression in Coxsackie B cases.
Acute respiratory distress syndrome (ARDS) is a life-threatening manifestation of diffuse inflammation damaging the lung pleura. Risk factors for development are numerous with most cases arising in those already hospitalized for critical illness. We describe a unique case of a healthy 20-year-old female developing myocarditis and severe ARDS while hospitalized for septic shock after initially presenting with gastroenteritis from a suspected Coxsackie B infection in the setting of an overseas military deployment. After two transfers via land and air, she reached a facility that delivered definitive care and survived. This case highlights how a common disease can develop into something far more deadly and how early recognition of ARDS risk factors can improve clinical decision-making at the time of admission.
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Chiong et al. (2021) conducted a case report in Acute Respiratory Distress Syndrome (ARDS) and Myocarditis (n=1). Suspected Coxsackie B infection was evaluated. A healthy 20-year-old female unexpectedly developed and survived severe ARDS, septic shock, and myocarditis following suspected Coxsackie B viral gastroenteritis.
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