PMID- 32334492 OWN - NLM STAT- MEDLINE DCOM- 20200430 LR - 20200430 IS - 1121-7138 (Print) IS - 1121-7138 (Linking) VI - 43 IP - 1 DP - 2020 Jan TI - Fatal case of West Nile encephalitis associated with acute anteroseptal ST elevation myocardial infarction (STEMI): a case report. PG - 51-53 AB - Cardiac involvement has rarely been reported in West Nile (WNV) infection. We report a fatal case of WNV encephalitis associated with an acute anteroseptal ST elevation myocardial infarction. The patient was hospitalized with a fever, headache, nausea and vomiting. The physical examination revealed positive meningeal signs and an altered level of consciousness. High levels of cardiac enzymes (creatine phosphokinase/MB fraction, lactate dehydrogenase, myoglobin and cardiac troponin I) and ST elevation on electrocardiogram were found. Both CSF and urine samples were positive for WNV RNA. This case highlights the need of awareness of the possibility of a WNV-related myocardial infection, including myocardial infarction. FAU - Sabadi, Dario AU - Sabadi D AD - Clinic for Infectious Diseases, University Hospital Center Osijek, Osijek, Croatia. AD - Faculty of Medicine, Josip Juraj Strossmayer University of Osijek, Osijek, Croatia. FAU - Peric, Ljiljana AU - Peric L AD - Clinic for Infectious Diseases, University Hospital Center Osijek, Osijek, Croatia. AD - Faculty of Medicine, Josip Juraj Strossmayer University of Osijek, Osijek, Croatia. FAU - Savic, Vladimir AU - Savic V AD - Poultry Centre, Croatian Veterinary Institute, Zagreb, Croatia. FAU - Rubil, Ilija AU - Rubil I AD - Clinic for Infectious Diseases, University Hospital Center Osijek, Osijek, Croatia. AD - Faculty of Medicine, Josip Juraj Strossmayer University of Osijek, Osijek, Croatia. FAU - Baraban, Vedrana AU - Baraban V AD - Faculty of Medicine, Josip Juraj Strossmayer University of Osijek, Osijek, Croatia. AD - Department of Cardiovascular Diseases, University Hospital Center Osijek, Osijek, Croatia. FAU - Tabain, Irena AU - Tabain I AD - Department of Virology, Croatian Institute of Public Health, Zagreb Croatia. FAU - Barbic, Ljubo AU - Barbic L AD - Department of Microbiology and Infectious Diseases with Clinic, Faculty of Veterinary Medicine University of Zagreb, Zagreb, Croatia. FAU - Duvnjak, Mario AU - Duvnjak M AD - Clinic for Infectious Diseases, University Hospital Center Osijek, Osijek, Croatia. AD - Faculty of Medicine, Josip Juraj Strossmayer University of Osijek, Osijek, Croatia. FAU - Bogdanic, Maja AU - Bogdanic M AD - Department of Virology, Croatian Institute of Public Health, Zagreb Croatia. FAU - Stevanovic, Vladimir AU - Stevanovic V AD - Department of Microbiology and Infectious Diseases with Clinic, Faculty of Veterinary Medicine University of Zagreb, Zagreb, Croatia. FAU - Capak, Krunoslav AU - Capak K AD - Environmental Health Department, Croatian Institute of Public Health, Zagreb, Croatia. FAU - Vilibic-Cavlek, Tatjana AU - Vilibic-Cavlek T AD - Department of Virology, Croatian Institute of Public Health, Zagreb Croatia. AD - School of Medicine University of Zagreb, Zagreb, Croatia. LA - eng PT - Case Reports PT - Journal Article DEP - 20191213 PL - Italy TA - New Microbiol JT - The new microbiologica JID - 9516291 RN - 0 (Enzymes) SB - IM MH - Aged MH - Croatia MH - Electrocardiography MH - Enzymes/blood MH - Fatal Outcome MH - Female MH - Humans MH - *ST Elevation Myocardial Infarction/complications/enzymology MH - *West Nile Fever/blood/complications/diagnosis/enzymology MH - West Nile virus/physiology OTO - NOTNLM OT - West Nile virus OT - encephalitis OT - myocardial infarction EDAT- 2020/04/27 06:00 MHDA- 2020/05/01 06:00 CRDT- 2020/04/27 06:00 PHST- 2020/04/04 00:00 [received] PHST- 2020/04/04 00:00 [accepted] PHST- 2020/04/27 06:00 [entrez] PHST- 2020/04/27 06:00 [pubmed] PHST- 2020/05/01 06:00 [medline] AID - 496N131 [pii] PST - ppublish SO - New Microbiol. 2020 Jan;43(1):51-53. Epub 2019 Dec 13.