Our 20 yr old nephew is in the hospital and has to have an emergency heart transplant due to leaking platelettes? He has a viral infection that is eating his heart-it has become 50 % worse since last night. What causes this? He seemed so healthy all the time. He lately had flu symptoms and was tired, vomiting, diarhea, etc. but was around others who'd had the flu so thought it was that. The doctor said it usually doesn't happen to young people but that last year a 37 yr old woman had been diagnosed and died within 24 hours. What is this? Is it contagious? Is it hereditery?
Based on the information provided by you there is a possibility that it could be myocarditis which is an infection usually caused by viruses like parvovirus B19, coxsackie less commonly due to nonviral pathogens or hypersensitivity to medicines or drugs.Myocarditis is inflammation of the heart muscle. It causes chest pain, shortness of breath, palpitations, fever and with a history of a recent viral infection one may have rash, diarrhea, joint pains, and easy fatigueability.It can also lead death due to heart failure and requires emergency treatment.Electrocardiogram, elevated CRP, ESR, troponin and cardiac isoenzymes may help in diagnosis. Treatment is usually symptomatic in the form of diuretics, ionotropes; diogoxin etc.Heart transplantation is indicated in those who do not respond to conventional treatment. Do write to us again with more details about your nephew’s health. Wishing him a speedy recovery.
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