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KMID : 0882420140870040461
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Korean Journal of Medicine
2014 Volume.87 No. 4 p.461 ~ p.465
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Acute Pericarditis with Pericardial Effusion That Developed after Swine Influenza A (H1N1) Infection in a Healthy Adult
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Oh Chi-Hyuk
Kim Jin-Bae
Kim Yu-Jin
Lee Tae-In
Byun Jing-Kyu
Kim Kwon-Sam
Kim Woo-Shik
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Abstract
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A 21?year?old male with no any other diseases presented with fever, chills, and chest discomfort. A chest radiography scan and a transthoracic echocardiogram revealed a large amount of pericardial effusion. An H1N1 viral real?time PCR test confirmed the presence of H1N1 viral infection. Pericardiocentesis was performed to reduce symptoms, and oseltamivir (Tamiflu TM ) was administered. His symptoms improved during the first 4 days, and there was no relapse of the pericardial effusion. The most common manifestation of influenza A infection is respiratory tract infection. Although a cardiovascular manifestation is possible, it is extremely rare. We have reported here a case of acute pericarditis with a large amount of pericardial effusion in a healthy adult infected with influenza A virus (H1N1, swine?origin).
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KEYWORD
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Pericarditis, Pericardial effusion, Influenza A virus, H1N1 subt
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