Two Swords in the Storm: Parvovirus B19 and COVID-19 Clash in a Myocardial Mayhem of Arrhythmias
Shaikh A. Khalil A. Khalikh *
Department of Cardiology, Grant Medical College and Sir JJ Group of Hospitals, Mumbai, India.
Kalyan S. Munde
Department of General Medicine, Grant Medical College and Sir JJ Group of Hospitals, Mumbai, India.
*Author to whom correspondence should be addressed.
Abstract
Myocarditis can be caused by a variety of infectious and non-infectious illnesses [1]. Although viral infection remains the most commonly identified cause of myocarditis, the role of parvovirus B19 (B19V) from the Erythrovirus genus in the pathogenesis of myocarditis has been identified as a potentially important contributor to myocarditis because of the high prevalence of Parvovirus B 19 (B19V) DNA in hearts of patients with myocarditis [2]. Co-infections of cardiotropic viruses are rarely reported and the mechanisms of viral interactions remain unknown [3]. In this report, we present a case of acute myocarditis in a young male, precipitated by a co-infection of Parvovirus B19 and COVID-19, characterized by fulminant progression and the development of multiple arrhythmias.
Keywords: Myocarditis, viral infection, parvovirus B19, cardiotropic viruses