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 2
Laboratory features of reported myocarditis case-patients, northern Illinois, 2003*
| Patient and county of residence | Local test results |
California laboratory tests |
Outcome | |||
|---|---|---|---|---|---|---|
| Group B coxsackie virus serology (reference range <1:8) | Other | Specimens | Date collected | Results | ||
| 1, Kane | None | Blood cultures: negative; pericardial fluid culture: negative | Serum, myocardial tissue | 3/8, 3/9 | Negative | Died |
| 2, La Salle | None | – | Serum | 4/2 | Negative | Recovered |
| 3, Kendall | None | – | Serum | 4/1 | Negative | Recovered |
| 4, Kane |
None |
Legionella urinary antigen: negative; sputum, blood, CSF, urine, stool viral cultures: negative |
Serum |
3/24 |
Negative |
Recovered |
| 5, DeKalb | None | – | Serum | 4/2 | Negative | AICD, recovered |
| 6, Kendall | None | – | Serum | 4/1 | Negative | Recovered |
| 7, Kane | Acute: negative | Influenza A and B: negative; blood, throat, urine, stool viral culture: negative | Serum | 3/25 | Negative | Recovered |
| 8, Kane |
None |
– |
Serum |
4/1 |
Negative |
Recovered |
| 9, Will | None | – | Myocardial tissue | 3/03 | Negative | Recovered |
| 10, Fulton | None | – | None | – | – | Recovered |
| 11, Peoria | Acute: positive 1:80; convalescent: positive 1:80 | Mycoplasma IgM serology: negative (reference range < 0.77 U/L); mycoplasma IgG serology: positive 1.47 U/L (reference range < 0.77 U/L); EBV, CMV serology: negative | Serum | 4/3 | Negative | Recovered |
| 12, Cook |
None |
Nasopharyngeal, stool culture: negative |
None |
– |
– |
Recovered |
| 13, Cook | Acute: negative | Echovirus serology: negative Influenza A and B, RSV rapid tests: negative; Legionella urinary antigen: negative | Serum | 4/12 | Negative | Recovered |
| 14, Cook† | Acute: positive 1:320; convalescent: 1:640 | Blood culture: negative; mycoplasma IgM serology: 0.11 negative (reference range < 0.77 U/L); mycoplasma IgG serology: negative 0.07 U/L (reference range < 0.77 U/L); acute echovirus type 11 serology: 1:320 (reference range >1:10); acute influenza A serology: negative (reference range >1:8; acute influenza B serology:positive 1:32; convalescent influenza B serology: negative (reference range <1:8); endotracheal viral culture: negative | None | – | – | Recovered |
| 15, DuPage | Acute: negative | CMV, EBV serology: negative | None | – | – | AICD, recovered |
| 16, Winnebago | None | – | Myocardial tissue | 4/7 | Negative | Died |
*CSF, cerebrospinal fluid; EBV, Epstein-Barr virus; CMV, cytomegalovirus; RSV, respiratory syncytial virus; AICD, automatic interventricular cardiac defibrillator.
†Patient 14 had myopericarditis.
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