Key result
Coxsackie B virus infection can present with rare and severe complications, including simultaneous cardiac tamponade and adrenal insufficiency.
Why the study?
Coxsackie B virus can rarely present in an unexpected fashion with cardiac tamponade or hormonal disruption, requiring clinical awareness of its uncommon presentations.
Case Report (n=1)
Coxsackie B virus can rarely present with simultaneous cardiac tamponade and adrenal insufficiency, highlighting the need for clinical awareness of its uncommon manifestations.
Answers are grounded in this paper and cite their sources.
Alerts clinicians to rare Coxsackie B tamponade with adrenal insufficiency; leaves open causal association for future reports.
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.
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Jeong et al. (2023) conducted a case report in Coxsackie B Virus-Induced Cardiac Tamponade and Adrenal Insufficiency (n=1). Coxsackie B virus infection was evaluated. Coxsackie B virus infection can present with rare and severe complications, including simultaneous cardiac tamponade and adrenal insufficiency.
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