PMID- 26681781 OWN - NLM STAT- MEDLINE DCOM- 20160517 LR - 20181113 IS - 1098-4275 (Electronic) IS - 0031-4005 (Print) IS - 0031-4005 (Linking) VI - 137 IP - 1 DP - 2016 Jan TI - Fatal Myocarditis Associated With HHV-6 Following Immunosuppression in Two Children. LID - 10.1542/peds.2015-1352 [doi] LID - e20151352 AB - Fatal myocarditis is a rare complication in immunosuppressed children. Recent reports have linked human herpesvirus 6 (HHV-6) infection, typically a benign infection in childhood, with myocarditis. HHV-6 can reactivate during periods of immunosuppression. Here, we report 2 cases in which children were immunosuppressed, one for treatment of Evans syndrome and the other post hematopoietic stem cell transplantation, who developed rapid and fatal HHV-6-associated myocarditis. These cases suggest that HHV-6 infection should be considered as an etiology of myocarditis in immunosuppressed patients regardless of correlating blood levels. Early treatment of HHV-6 in patients with myocarditis could improve morbidity and mortality. CI - Copyright (c) 2016 by the American Academy of Pediatrics. FAU - Stefanski, Heather E AU - Stefanski HE AD - Divsion of Pediatric Blood and Marrow Transplant, University of Minnesota, Minneapolis, Minnesota; and. FAU - Thibert, Kathryn A AU - Thibert KA AD - Divsion of Pediatric Blood and Marrow Transplant, University of Minnesota, Minneapolis, Minnesota; and. FAU - Pritchett, Joshua AU - Pritchett J AD - Divsion of Pediatric Blood and Marrow Transplant, University of Minnesota, Minneapolis, Minnesota; and. FAU - Prusty, Bhupesh K AU - Prusty BK AD - Biocenter, Chair of Microbiology, University of Wurzburg, Wurzburg, Germany. FAU - Wagner, John E AU - Wagner JE AD - Divsion of Pediatric Blood and Marrow Transplant, University of Minnesota, Minneapolis, Minnesota; and. FAU - Lund, Troy C AU - Lund TC AD - Divsion of Pediatric Blood and Marrow Transplant, University of Minnesota, Minneapolis, Minnesota; and lundx072@umn.edu. LA - eng GR - K08 HL108998/HL/NHLBI NIH HHS/United States GR - K12 HD068322/HD/NICHD NIH HHS/United States GR - K08HL108998/HL/NHLBI NIH HHS/United States PT - Case Reports PT - Journal Article PT - Research Support, N.I.H., Extramural PT - Research Support, Non-U.S. Gov't DEP - 20151217 PL - United States TA - Pediatrics JT - Pediatrics JID - 0376422 SB - IM MH - Adolescent MH - Child, Preschool MH - Fatal Outcome MH - Female MH - Herpesviridae Infections/*complications MH - *Herpesvirus 6, Human MH - Humans MH - Immunocompromised Host MH - Male MH - Myocarditis/*complications PMC - PMC5545791 MID - NIHMS870913 COIS- POTENTIAL CONFLICT OF INTEREST: The authors have indicated they have no potential conflicts of interest to disclose. FINANCIAL DISCLOSURE: The authors have indicated they have no financial relationships relevant to this article to disclose. EDAT- 2015/12/19 06:00 MHDA- 2016/05/18 06:00 PMCR- 2017/01/01 CRDT- 2015/12/19 06:00 PHST- 2015/09/15 00:00 [accepted] PHST- 2015/12/19 06:00 [entrez] PHST- 2015/12/19 06:00 [pubmed] PHST- 2016/05/18 06:00 [medline] PHST- 2017/01/01 00:00 [pmc-release] AID - peds.2015-1352 [pii] AID - peds.2015-1352.137.1.e20151352 [pii] AID - 10.1542/peds.2015-1352 [doi] PST - ppublish SO - Pediatrics. 2016 Jan;137(1):e20151352. doi: 10.1542/peds.2015-1352. Epub 2015 Dec 17.