Viral Carditis

Coxsackie B viruses and certain other enteroviruses such as coxsackieviruses A4 and A16 and echoviruses 9 and 22 are now recognized to be the most important cause of carditis (see Table 36-9 and Chapter 23). The disease may present as myocarditis, pericarditis, or cardiomyopathy with a greatly dilated

Table 36-8

Viral Arthritis Virus

Distribution

Features

Ross River

Chikungunya

O'riyong-nyong

Sindbis

Mayaro

Dengue

West Nile

Oro pouche

Rubella

Parvovirus B19 Hepatitis B

Australia, Pacific islands

Africa, South Asia

East Africa

Africa, Asia, Europe

South America

Tropics worldwide

Africa, Asia, Mediterranean

Brazil

Worldwide

Worldwide

Worldwide

Arboviral fevers and polyarthritis

Especially in adult females Especially in adult females Immunologically mediated

Table 36-9

Viral Carditis

Table 36-9

Viral Carditis

Disease

Virus

Features

My oca rd i ti s / perica rd i tis / cardio-

Coxsackie B and other enteroviruses

Recrudescences

myopathy

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