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Case Report
Korean J Med. 2014;87(4):461-465. Published online October 1, 2014.
DOI: https://doi.org/10.3904/kjm.2014.87.4.461
건강한 성인에서 인플루엔자 A (H1N1)에 감염에 의해 발생한 급성 심장막염 1예
오치혁, 김진배, 김유진, 이태인, 변종규, 김권삼, 김우식
경희대학교 의학전문대학원 내과학교실
Acute Pericarditis with Pericardial Effusion That Developed after Swine Influenza A (H1N1) Infection in a Healthy Adult
Chi Hyuk Oh, Jin-Bae Kim, Yu Jin Kim, Taein Lee, Jong Kyu Byun, Kwon Sam Kim, Woo-Shik Kim
Department of Internal Medicine, Kyung Hee University School of Medicine, Seoul, Korea
Corresponding author: Jin-Bae Kim ,Tel: +82-2-958-8200, Fax: +82-2-968-1848, Email: jinbbai@khu.ac.kr
Received: June 17, 2013; Revised: August 6, 2013   Accepted: October 14, 2013.


߽ɾ :심장막염; 심장막삼출; 인플루엔자 A (H1N1)
Abstract
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).

Keywords :Pericarditis, Pericardial effusion, Influenza A virus, H1N1 subt
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