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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Autores principales: 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
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Publicado: Radcliffe Medical Media 2021
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spelling 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)
institution DOAJ
collection DOAJ
language EN
topic Diseases of the circulatory (Cardiovascular) system
RC666-701
spellingShingle 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
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