Neonatal Viral Myocarditis Due to Enterovirus Infection Leading to Cardiogenic Shock: A Case Report
| Author | Razieh Moazami Goudarzi | en |
| Author | Somayeh Shakiba | en |
| Author | Khadijeh Riazi Kermani | en |
| Orcid | Razieh Moazami Goudarzi [0000-0001-5963-1331] | en |
| Orcid | Khadijeh Riazi Kermani [0000-0003-1932-4331] | en |
| Issued Date | 2026-07-31 | en |
| Abstract | Introduction: Neonatal myocarditis is a rare but potentially life-threatening condition often triggered by viral infections such as enteroviruses. Early recognition is crucial but remains challenging because of nonspecific clinical presentations. This report describes the clinical course, diagnostic findings, and outcome of a neonate with enterovirus-associated myocarditis who initially presented with suspected neonatal sepsis. Case Presentation: A 5-day-old female neonate presented with fever and poor feeding. During hospitalization, she developed hepatomegaly, thrombocytopenia, and echocardiographic findings consistent with dilated cardiomyopathy. Polymerase chain reaction testing of cerebrospinal fluid confirmed enterovirus infection. Despite intensive supportive care, the infant progressed to cardiogenic shock and died on the seventh day of hospitalization, highlighting the importance of early consideration of viral myocarditis in febrile neonates. Conclusions: This case underscores the diagnostic challenges of neonatal enterovirus myocarditis and highlights the importance of early consideration of viral etiologies in febrile neonates. Early recognition of maternal infection, implementation of appropriate infection control measures during the peripartum period, and rapid diagnostic testing may help improve clinical outcomes. | en |
| DOI | https://doi.org/10.5812/jjm-172447 | en |
| URI | https://brieflands.com/journals/jjm/articles/172447 | en |
| Keyword | Enterovirus Infection | en |
| Keyword | Dilated Cardiomyopathy | en |
| Keyword | Neonatal Myocarditis | en |
| Keyword | Cardiogenic Shock | en |
| Publisher | Brieflands | en |
| Title | Neonatal Viral Myocarditis Due to Enterovirus Infection Leading to Cardiogenic Shock: A Case Report | en |
| Type | Case Report | en |
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