VIRAL AND RICKETTSIAL CAUSES OF CARDIAC DISEASE, INCLUDING THE COXSACKIE VIRUS ETIOLOGY OF PERICARDITIS AND MYOCARDITIS
Authors: T E WOODWARD, F R McCRUMB, T N CAREY, Y TOGO
Journal: Annals of Internal Medicine (1960)

Article1 December 1960VIRAL AND RICKETTSIAL CAUSES OF CARDIAC DISEASE, INCLUDING THE COXSACKIE VIRUS ETIOLOGY OF PERICARDITIS AND MYOCARDITISTHEODORE E. WOODWARD, M.D., F.A.C.P., FRED R. MCCRUMB JR., M.D., T. NELSON CAREY, M.D., F.A.C.P., YASASHI TOGO, M.D.THEODORE E. WOODWARD, M.D., F.A.C.P., FRED R. MCCRUMB JR., M.D., T. NELSON CAREY, M.D., F.A.C.P., YASASHI TOGO, M.D.Author, Article, and Disclosure Informationhttps://doi.org/10.7326/0003-4819-53-6-1130 SectionsAboutPDF ToolsAdd to favoritesDownload CitationsTrack CitationsPermissions ShareFacebookTwitterLinkedInRedditEmail ExcerptINTRODUCTIONPyogenic pericarditis is well known and, in contrast to the benign, nonspecific types, is frequently fatal. Rheumatic carditis is common and readily recognized, as a rule. Myocarditis of viral, rickettsial, granulomatous or nonspecific etiology is less frequent clinically, and may be overlooked. Improved laboratory technics within the last decade have provided more accurate identification of virus diseases, and thereby made possible the detection of specific types of pericarditis and myocarditis.MYOCARDITISJean Corvisart had sufficient vision to describe accurately the natural history of myocarditis when, in 1812, he wrote concerning acute carditis: "Hence this inflammation almost always terminates fatally;...Bibliography1. Corvisart JN: Essay on the organic diseases and lesions of the heart and great vessels, 1812, Bradford and Read, and Anthony Finley, Philadelphia. Google Scholar2. Saphir O: Myocarditis. A general review with an analysis of two hundred and forty cases, Arch. Path. 32: 1000, 1941; 33: 88, 1942. Google Scholar3. Bridgen W: Uncommon myocardial diseases. The non-coronary cardiomyopathies, Lancet 2: 1179-1184 (Dec. 14) 1957; 2: 1243-1249 (Dec. 21) 1957. Google Scholar4. GoreSaphir IO: Myocarditis: a classification of 1,402 cases, Am. Heart J. 34: 827, 1947. 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Author, Article, and Disclosure InformationAffiliations: Baltimore, Maryland*Received for publication April 26, 1960.From the Division of Infectious Diseases, Department of Medicine, University of Maryland School of Medicine, Baltimore, Maryland.†Presented in part at the Annual Meeting of the American Clinical and Climatological Association, and published in the Transactions70: 159, 1958.Requests for reprints should be addressed to Theodore E. Woodward, M.D., University Hospital, Baltimore 1, Maryland. 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