She was followed up as an out-patient by both the Respiratory and Cardiology departments and was . Complications in extra-respiratory tissues such as encephalopathy, myocarditis, and myopathy occur occasionally [2, 3] . The association of a severe influenzalike illness followed by the development of myocardial dysfunction or cardiomyopathy has been described in 20% of patients in epidemiological studies [4, 5] and also recognized via a rise in antibody titers in association with pregnancy [6] .