Chikungunya Virus–Induced Myopericarditis: Toward an Increase of Dilated Cardiomyopathy in Countries with Epidemics?

Fabrice Simon Service de Pathologie Infectieuse et Tropicale, de Cardiologie, Laboratoire de Biochimie, Hôpital d’Instruction des Armées Laveran, Marseille, France

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Philippe Paule Service de Pathologie Infectieuse et Tropicale, de Cardiologie, Laboratoire de Biochimie, Hôpital d’Instruction des Armées Laveran, Marseille, France

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Manuela Oliver Service de Pathologie Infectieuse et Tropicale, de Cardiologie, Laboratoire de Biochimie, Hôpital d’Instruction des Armées Laveran, Marseille, France

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The acute stage of infection with chikungunya virus, which is characterized of fever, polyarthritis, and occasional rash, can be complicated by myocarditis, as reported in a 21-year-old woman. Persisting changes on cardiac magnetic resonance imaging one year after disease onset could lead to delayed myocardial damage. An unexpected delayed increase in dilated cardiomyopathy may be observed in countries affected by the outbreak of chikungunya virus disease during 2005–2007.

Author Notes

  • 1

    Simon F, Parola P, Grandadam M, Fourcade S, Oliver M, Brouqui P, Hance P, Kraemer P, Ali Mohamed A, de Lamballerie X, Charrel R, Tolou H, 2007. Chikungunya infection, an emerging rheumatism among travellers returned from Indian Ocean islands: report of 47 cases. Medicine (Baltimore) 86 :123–137.

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  • 2

    Mavalankar D, Shastri P, Raman P, 2007. Chikungunya epidemic in India: a major public-health disaster. Lancet Infect Dis 7 :306–307.

  • 3

    Pialoux G, Gaüzere BA, Strobel M, 2006. Chikungunya virus infection: review through an epidemic. Med Mal Infect 36 :253–263.

  • 4

    Obeyesekere I, Hermon Y, 1973. Arbovirus heart disease: myocarditis and cardiomyopathy following dengue and chikun-gunya fever: a follow-up study. Am Heart J 8 :186–194.

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  • 5

    Kuhl U, Pauschinger M, Noutsias M, Seeberg B, Bock T, Lassner D, Poller W, Kandolf R, Schultheiss HP, 2005. High prevalence of viral genomes and multiple viral infections in the myocardium of adults with “idiopathic” left ventricular dysfunction. Circulation 111 :887–893.

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