Volume 11, Number 10—October 2005
Dispatch
Myocarditis Outbreak among Adults, Illinois, 2003
Gregory D. Huhn*†
, Cindy Gross‡, David Schnurr§, Chris Preas§, Shigeo Yagi§, Sarah Reagan*, Chris Paddock*, Douglas Passaro¶, and Mark S. Dworkin†
, Cindy Gross‡, David Schnurr§, Chris Preas§, Shigeo Yagi§, Sarah Reagan*, Chris Paddock*, Douglas Passaro¶, and Mark S. Dworkin†Table 1
Demographic and clinical features of reported myocarditis patients, northern Illinois, 2003
| Cardiac test results |
|||||||
|---|---|---|---|---|---|---|---|
| Patient and county of residence | Age/Sex | Date of hospital admission | Illness prodrome | Echocardiogram ejection fraction (abnormal <45%) | Cardiac catheterization | Endomyocardial biopsy | Other |
| 1, Kane | 31 F | 3/8 | Cough, shortness of breath, malaise for 3–5 d, diarrhea for 2 d | Decreased | Normal coronary arteries | Autopsy: lymphocytic infiltration of the myocardium | – |
| 2, La Salle | 47 M | 3/10 | None | 15%–20% | None | None | EKG*: new onset atrial fibrillation |
| 3, Kendall | 70 M | 3/4 | Upper respiratory tract infection for 2 wk | 20%–25% | None | None | – |
| 4, Kane |
45 F |
3/10 |
Fever, shortness of breath, obtundation for 1 d |
30% |
None |
None |
– |
| 5, DeKalb | 26 F | 3/4 | Viral bronchitis 1 mo before admission | None | None | None | EKG: ventricular fibrillation arrest |
| 6, Kendall | 32 M | 1/28 | Upper respiratory tract infection and diarrhea for 10 d | 20% | Normal coronary arteries | None | – |
| 7, Kane | 42 M | 03/25 | Cough for 2 wk | 20%–25% | None | None | EKG: new onset atrial fibrillation |
| 8, Kane |
45 F |
3/6 |
Viral illness 3 mo before, increasing palpitations for 3 mo |
30% |
Normal coronary arteries |
None |
– |
| 9, Will | 33 M | 3/19 | Upper respiratory tract infection for 5 d, shortness of breath for 2 d | Dilated cardiomyopathy | Normal coronary arteries | Lympohocytic and eosinophilic infiltration | – |
| 10, Fulton | 56 M | 2/8 | Upper respiratory tract infection 1 mo before, fever for 1 d | 20% | None | None | – |
| 11, Peoria | 38 M | 2/9 | Upper respiratory tract infection for 1 wk | 20%–25% | Normal coronary arteries | None | – |
| 12, Cook |
28 M |
Unknown |
Fevers for 2 wk |
20% |
None |
None |
– |
| 13, Cook | 60 M | 3/20 | Fever, cough, shortness of breath for 6 d | Decreased with global hypokinesis | None | None | – |
| 14, Cook† | 34 F | 2/28 | Unknown | Decreased, pericardial effusion | None | None | – |
| 15, DuPage | 39 F | 2/28 | Upper respiratory tract infection symptoms for 1 wk | 20%–25% | None | None | EKG: ventricular fibrillation arrest |
| 16, Winnebago | 20 M | 4/6 | Weight loss for 6 wk, vomiting and hemoptysis for 2 wk | None | None | Acute dilated cardiomyopathy | EKG: asystolic arrest |
*EKG, electrocardiogram.
†Patient 14 had a diagnosis of myopericarditis.
