Man with monkeypox develops serious heart problems, what you need to know

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• Scientists say monkeypox may be linked to heart problems.
• A 31-year-old man tested positive for monkeypox and developed myocardial inflammation.
• The man made a full recovery.

Monkeypox can cause heart damage in some patients, according to a new case study released Friday. JACC: Case Reports.

A 31-year-old man tested positive for monkeypox and developed acute myocarditis (inflammation of the heart muscle) one week after the onset of monkeypox symptoms.

Scientists say case reports suggest that heart inflammation may be a rare complication associated with monkeypox.

according to Dr. Jorge SalinasOther viruses are known to affect the heart, including enteroviruses and the smallpox virus, which is related to the monkeypox virus, according to Dr. Stanford University, an infectious disease expert and hospital epidemiologist.

other patients diagnosed with monkeypox A 2022 outbreak developed myocarditis, which infectious disease experts say is likely a rare complication.

Salinas told Healthline, “As the outbreak continues, we will hear of a few more cases, but I don’t expect that number to grow.

The patient, a healthy 31-year-old man, presented to the clinic 5 days after the onset of monkeypox symptoms. He was experiencing fatigue, muscle pain, fever, and multiple skin lesions.

He tested positive for monkeypox and was returned to the emergency room three days later with chest pain and tightness in his left arm.

The patient underwent multiple cardiac tests and was shown to have experienced a cardiac stress disorder. Cardiac magnetic resonance imaging, which takes pictures of the heart, revealed that the patient had inflammation of the heart muscle.

The patient made a complete recovery within 1 week.

The case suggests that myocarditis may be a complication of monkeypox, according to the researchers, but further research is needed to better understand the link between monkeypox and heart damage. Is required.

“Clinicians should be alert to monkeypox patients who complain of chest pain and look for this rare clinical symptom, which was completely resolved in this patient.” Dr. Monica GandhiAn infectious disease expert at the University of California, San Francisco said:

Monkeypox usually causes self-limiting symptoms, such as skin lesions, muscle aches, and fever, and resolves within a few weeks.

Gandhi said that the recent monkeypox epidemic was almost 52,000 in 110 countries — This is the largest monkeypox outbreak the world has seen since the infection was first reported in 1958.

“This outbreak therefore offers an opportunity to define the clinical features of this infection in greater detail,” Gandhi said.

Myocarditis is a complication associated with many infections.past research We have found that viral infections are the most common cause of myocarditis.

“Myocarditis can be caused by a variety of viruses, from influenza to coxsackievirus, influenza virus, smallpox, and SARS-CoV2.” Dr. Amesh AdaljaA senior research fellow at Johns Hopkins University’s Center for Health Security and an infectious disease expert, told Healthline.

Evidence has previously associated myocarditis with smallpox, which is more dangerous compared to monkeypox. Because monkeypox is related to smallpox, scientists believe monkeypox can cause similar damage to the heart in rare cases.

“Smallpox is a virus related to monkeypox, and like the smallpox vaccine, it has been associated with myocarditis (inflammation of the heart),” Gandhi said.

Patients with viral myocarditis usually first experience fever, malaise, and muscle aches before suddenly developing cardiac symptoms.

Inflammation can be caused by the virus itself, along with inflammation caused by the body’s immune response.

“In some cases, the virus can directly enter the heart muscle cells and cause them to malfunction. In other cases, it could be an immune response to a pathogen that causes heart damage,” Adalja said. , added that it could also be a combination of the two.

Adalja does not believe that myocarditis is a common problem in people diagnosed with monkeypox.

“Myocarditis does not appear to be a frequent complication of monkeypox, so there is only one case report,” said Adalja.

A new case study detailing a healthy man in his 30s who was diagnosed with monkeypox and later developed myocarditis suggests that the infection can cause heart damage in some patients. Infectious disease experts say heart inflammation is linked to other infections, but they expect it to be a rare complication of monkeypox.

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