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Case Reports in Cardiology
Volume 2017 (2017), Article ID 1017686, 4 pages
https://doi.org/10.1155/2017/1017686
Case Report

Ventricular Fibrillation following Varicella Zoster Myocarditis

1Royal Free Hospital, London, UK
2University of Cyprus Medical School, Nicosia, Cyprus
3Frimley Health NHS Foundation Trust, London, UK

Correspondence should be addressed to Constantinos G. Missouris

Received 13 September 2017; Accepted 1 November 2017; Published 23 November 2017

Academic Editor: Ertugrul Ercan

Copyright © 2017 Adam Ioannou et al. This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

Abstract

Varicella-zoster virus (VZV) infection can rarely lead to serious cardiac complications and life-threatening arrhythmias. We present a case of a 46-year-old male patient who developed VZV myocarditis and presented with recurrent syncopal episodes followed by a cardiac arrest. He had a further collapse eight years later, and cardiac magnetic resonance imaging (MRI) demonstrated mild mid-wall basal and inferolateral wall fibrosis. He was treated with an implantable cardioverter defibrillator (ICD) and represented two years later with ICD shocks, and interrogation of the device revealed ventricular fibrillation episodes. This case demonstrates the life-threatening long-term sequelae of VZV myocarditis in adults. We suggest that VZV myocarditis should be considered in all patients who present with a syncopal event after VZV infection. In these patients, ICD implantation is a potentially life-saving procedure.