PMID- 18712847 OWN - NLM STAT- MEDLINE DCOM- 20081030 LR - 20220331 IS - 1096-9071 (Electronic) IS - 0146-6615 (Print) IS - 0146-6615 (Linking) VI - 80 IP - 10 DP - 2008 Oct TI - First report on fatal myocarditis associated with adenovirus infection in Cuba. PG - 1756-61 LID - 10.1002/jmv.21274 [doi] AB - Myocarditis is caused frequently by viral infections of the myocardium. In the past, enteroviruses (EV) were considered the most common cause of myocarditis in all age groups. Other viruses that cause myocarditis are adenovirus and influenza viruses. Parvovirus B19 infection is associated sometimes with myocarditis. Members of the Herpesviridae family, cytomegalovirus (CMV), and human herpesvirus 6 (HHV-6) have been associated occasionally with myocarditis. During an atypical outbreak of acute febrile syndrome, eight children, with ages from 5 months to 15 years, died in cardiogenic shock due to myocarditis in July-August 2005, in the city of Havana, Cuba. Nested polymerase chain reaction (nPCR) and nested reverse transcription-PCR (nRT-PCR) were carried out on fresh heart muscle and lung tissue to analyze the genomic sequences of adenovirus, CMV, HHV-6, herpes simplex virus, Epstein-Barr virus (EBV), varizella zoster virus, influenza virus A, B, C, respiratory syncytial virus (RSV) A and B, parainfluenza viruses, rhinoviruses, coronavirus, flaviruses and enteroviruses. Evidence was for the presence of the adenovirus genome in 6 (75%) of the children. Phylogenetic analyses of a conserved hexon gene fragment in four cases showed serotype 5 as the causal agent. No others viruses were detected. Histological examination was undertaken to detect myocardial inflammation. After exclusion of other possible causes of death, the results indicated that viral myocarditis was the cause of death in patients with adenovirus infection. FAU - Valdes, Odalys AU - Valdes O AD - Respiratory Viruses Laboratory, Virology Department, Division of Microbiology, Instituto de Medicina Tropical Pedro Kouri, Havana, Cuba. odalys@ipk.sld.cu FAU - Acosta, Belsy AU - Acosta B FAU - Pinon, Alexander AU - Pinon A FAU - Savon, Clara AU - Savon C FAU - Goyenechea, Angel AU - Goyenechea A FAU - Gonzalez, Grehete AU - Gonzalez G FAU - Gonzalez, Guelsys AU - Gonzalez G FAU - Palerm, Lidice AU - Palerm L FAU - Sarmiento, Luis AU - Sarmiento L FAU - Pedro, Mas Lago AU - Pedro ML FAU - Martinez, Pedro A AU - Martinez PA FAU - Rosario, Delfina AU - Rosario D FAU - Kouri, Vivian AU - Kouri V FAU - Guzman, Maria Guadalupe AU - Guzman MG FAU - Llop, Alina AU - Llop A FAU - Casas, Inmaculada AU - Casas I FAU - Perez Brena, Ma Pilar AU - Perez Brena MP LA - eng PT - Journal Article PT - Research Support, Non-U.S. Gov't PL - United States TA - J Med Virol JT - Journal of medical virology JID - 7705876 SB - IM MH - Adenoviridae/classification/genetics/*isolation & purification MH - Adenoviridae Infections/*complications/mortality/pathology/*virology MH - Adolescent MH - Child MH - Child, Preschool MH - Cuba/epidemiology MH - *Disease Outbreaks MH - Female MH - Genome, Viral/genetics MH - Heart/virology MH - Humans MH - Infant MH - Lung/virology MH - Male MH - Myocarditis/mortality/pathology/*virology MH - Phylogeny MH - Polymerase Chain Reaction MH - Sequence Analysis, DNA MH - Shock, Cardiogenic/mortality/pathology/*virology PMC - PMC7159136 EDAT- 2008/08/21 09:00 MHDA- 2008/10/31 09:00 PMCR- 2020/04/15 CRDT- 2008/08/21 09:00 PHST- 2008/08/21 09:00 [pubmed] PHST- 2008/10/31 09:00 [medline] PHST- 2008/08/21 09:00 [entrez] PHST- 2020/04/15 00:00 [pmc-release] AID - JMV21274 [pii] AID - 10.1002/jmv.21274 [doi] PST - ppublish SO - J Med Virol. 2008 Oct;80(10):1756-61. doi: 10.1002/jmv.21274.