CMV-associated carditis in a 5-month-old child

Abstract

The article presents a case of cytomegalovirus-associated carditis in a 5-month-old child. Carditis proceeded in an arrhythmic form and was manifested by frequent ventricular extrasystoles. An increase in the activity of creatine-phosphokinase was noted in the blood. The isolation of cytomegalovirus DNA from the blood, as well as IgM and IgG to cytomegalovirus, made it possible to associate the development of carditis with IgG to cytomegalovirus. Carditis in a child proceeded without signs of heart failure. After diagnostic and therapeutic procedures, the child was discharged home. This case shows that one of the possible causes of carditis in children is cytomegalovirus, which necessitates testing for markers of active cytomegalovirus infection. In this age group, it is possible to register both congenital and acquired variants of infection with heart damage, having different treatment regimens and prognosis.