Zusammenfassung
Die ganz überwiegende Zahl klinischer und pathologisch-anatomischer Mitteilungen über Virusmyokarditiden bezieht sich auf die Coxsackie-Myokarditis. Sie ist nach allen epidemiologischen Untersuchungen die häufigste Manifestation einer kardialen Beteiligung bei viralen Erkrankungen, und zwar unabhängig vom Lebensalter (Lerner u. Wilson 1973; Levine 1979; Woodruff 1980; Reyes u. Lerner 1985). Wie fast alle Viruserkrankungen ist auch die Coxsackie-Infektion klinisch außerordentlich vielgestaltig. Es kommen katarrhalische Infekte, gastrointestinale Erkrankungen, Pleuritis, Myalgien, Arthralgien, Meningitis, Pankrea-titis, Orchitis sowie Myokarditis und Perikarditis vor (Gladisch et al. 1976; Jung u. Boethig 1976). Lau u. Hermon (1979) haben unter 622 serologisch untersuchten Patienten mit katarrhalischen Erscheinungen, die an eine virale Ursache denken ließen, in 234 Fällen eine Karditis angenommen, von denen 141 einen erhöhten Titer neutralisierender Antikörper gegen Coxsackie B1-B6 aufwiesen. Unter diesen litten 23% an einer Myokarditis, 42% an einer Perikarditis, 28% an einer Pleurodynie und 6% an einer nichtentzündlichen Herzerkrankung. Das männliche Geschlecht war mit 67% überrepräsentiert, das Maximum der Erkrankungshäufigkeit lag im 3. Lebensjahrzehnt.
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Schölmerich, P. (1989). Myokarditis bei Infektionskrankheiten. In: Just, H., et al. Myokarderkrankungen Perikarderkrankungen Herztumoren. Handbuch der inneren Medizin, vol 9 / 5. Springer, Berlin, Heidelberg. https://doi.org/10.1007/978-3-642-95517-4_9
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