Fatal Enterovirus-related Myocarditis in a Patient with Devic’s Syndrome Treated with Rituximab
Enteroviruses are a frequent source of infection and among the most common central nervous system viral pathogens. Enteroviruses – in particular, the Coxsackie B viruses – are a known cause of myocarditis. Rituximab is a genetically engineered chimeric anti-CD20 monoclonal antibody. Many reports in...
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Radcliffe Medical Media
2021
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oai:doaj.org-article:68801583d27f4893b4862bf8364564d62021-12-04T16:04:26ZFatal Enterovirus-related Myocarditis in a Patient with Devic’s Syndrome Treated with Rituximab10.15420/cfr.2020.332057-75592057-7540https://doaj.org/article/68801583d27f4893b4862bf8364564d62021-05-01T00:00:00Zhttps://www.cfrjournal.com/articleindex/cfr.2020.33https://doaj.org/toc/2057-7540https://doaj.org/toc/2057-7559Enteroviruses are a frequent source of infection and among the most common central nervous system viral pathogens. Enteroviruses – in particular, the Coxsackie B viruses – are a known cause of myocarditis. Rituximab is a genetically engineered chimeric anti-CD20 monoclonal antibody. Many reports in the literature suggest a higher risk of infection following repeated rituximab therapy, including viral infection. However, observations of enterovirus-related myocarditis in the context of rituximab treatment are scarce. The authors describe the case of a patient with neuromyelitis optica spectrum disorder who developed severe and fatal enterovirus-related myocarditis after rituximab therapy with a difficult differential diagnosis of autoimmune or giant-cell myocarditis. This case highlights the importance of complete diagnostic workup in difficult cases of myocarditis, including endomyocardial biopsies.Ava DiarraGuillaume GantoisMouna LazrekBasile VerdierVincent ElsermansHélène ZephirBenjamin LongèreXristos GkizasCéline GoeminneGilles LemesleFrancis JuthierJohana BeneDavid LaunayRomain DuboisSandrine Morell-DuboisFanny VuottoAnne-Laure PitonRadcliffe Medical MediaarticleDiseases of the circulatory (Cardiovascular) systemRC666-701ENCardiac Failure Review , Vol 7, Iss , Pp - (2021) |
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Diseases of the circulatory (Cardiovascular) system RC666-701 |
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Diseases of the circulatory (Cardiovascular) system RC666-701 Ava Diarra Guillaume Gantois Mouna Lazrek Basile Verdier Vincent Elsermans Hélène Zephir Benjamin Longère Xristos Gkizas Céline Goeminne Gilles Lemesle Francis Juthier Johana Bene David Launay Romain Dubois Sandrine Morell-Dubois Fanny Vuotto Anne-Laure Piton Fatal Enterovirus-related Myocarditis in a Patient with Devic’s Syndrome Treated with Rituximab |
description |
Enteroviruses are a frequent source of infection and among the most common central nervous system viral pathogens. Enteroviruses – in particular, the Coxsackie B viruses – are a known cause of myocarditis. Rituximab is a genetically engineered chimeric anti-CD20 monoclonal antibody. Many reports in the literature suggest a higher risk of infection following repeated rituximab therapy, including viral infection. However, observations of enterovirus-related myocarditis in the context of rituximab treatment are scarce. The authors describe the case of a patient with neuromyelitis optica spectrum disorder who developed severe and fatal enterovirus-related myocarditis after rituximab therapy with a difficult differential diagnosis of autoimmune or giant-cell myocarditis. This case highlights the importance of complete diagnostic workup in difficult cases of myocarditis, including endomyocardial biopsies. |
format |
article |
author |
Ava Diarra Guillaume Gantois Mouna Lazrek Basile Verdier Vincent Elsermans Hélène Zephir Benjamin Longère Xristos Gkizas Céline Goeminne Gilles Lemesle Francis Juthier Johana Bene David Launay Romain Dubois Sandrine Morell-Dubois Fanny Vuotto Anne-Laure Piton |
author_facet |
Ava Diarra Guillaume Gantois Mouna Lazrek Basile Verdier Vincent Elsermans Hélène Zephir Benjamin Longère Xristos Gkizas Céline Goeminne Gilles Lemesle Francis Juthier Johana Bene David Launay Romain Dubois Sandrine Morell-Dubois Fanny Vuotto Anne-Laure Piton |
author_sort |
Ava Diarra |
title |
Fatal Enterovirus-related Myocarditis in a Patient with Devic’s Syndrome Treated with Rituximab |
title_short |
Fatal Enterovirus-related Myocarditis in a Patient with Devic’s Syndrome Treated with Rituximab |
title_full |
Fatal Enterovirus-related Myocarditis in a Patient with Devic’s Syndrome Treated with Rituximab |
title_fullStr |
Fatal Enterovirus-related Myocarditis in a Patient with Devic’s Syndrome Treated with Rituximab |
title_full_unstemmed |
Fatal Enterovirus-related Myocarditis in a Patient with Devic’s Syndrome Treated with Rituximab |
title_sort |
fatal enterovirus-related myocarditis in a patient with devic’s syndrome treated with rituximab |
publisher |
Radcliffe Medical Media |
publishDate |
2021 |
url |
https://doaj.org/article/68801583d27f4893b4862bf8364564d6 |
work_keys_str_mv |
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