CASE REPORTS

Severe influenza B myocarditis and myositis*

Tabbutt, Sarah MD, PhD; Leonard, Mary MD; Godinez, Rodolfo I. MD, PhD; Sebert, Michael MD; Cullen, Jim RN; Spray, Thomas L. MD; Friedman, David MD

Author Information

From the Department of Pediatrics, Divisions of Cardiology (ST), Infectious Disease (MS), Nephrology (ML), and Hematology (DF) and the Departments of Anesthesia and Critical Care Medicine (ST, RIG) and Surgery, Division of Cardiothoracic Surgery (TLS), Children's Hospital of Philadelphia, University of Pennsylvania School of Medicine; and the Department of Nursing (JC), Children's Hospital of Philadelphia, Philadelphia, PA.

Pediatric Critical Care Medicine 5(4):p 403-406, July 2004. | DOI: 10.1097/01.PCC.0000123555.10869.09

Abstract

Objective: 

To report an influenza B infection with associated myocarditis and severe skeletal myositis.

Design: 

Case report.

Setting: 

Cardiac intensive care unit in a university-affiliated children's hospital.

Patient: 

A 4-yr-old girl.

Results: 

The patient was successfully supported with extracorporeal membrane oxygenation for profound myocardial dysfunction and a combination of plasmapheresis and continuous venovenous hemodialysis for rhabdomyolysis and acute renal failure.

Conclusions: 

This case provides a reminder that patients presenting with viral illness or myoglobinuria accompanied by renal failure, with or without associated myocarditis, may be demonstrating symptoms of influenza B.

©2004The Society of Critical Care Medicine and the World Federation of Pediatric Intensive and Critical Care Societies

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