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result sql = First therapeutic use of Artesunate in treatment of human herpesvirus 6B myocarditis in a child.
First therapeutic use of Artesunate in treatment of human herpesvirus 6B myocarditis in a child.
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char = n;code = 110
char = t;code = 116
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char = ;code = 32
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char = a;code = 97
char = d;code = 100
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char = e;code = 101
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char = f;code = 102
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char = ;code = 32
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char = t;code = 116
char = e;code = 101
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char = e;code = 101
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char = <;code = 60
char = b;code = 98
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char = N;code = 78
char = S;code = 83
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char = i;code = 105
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char = o;code = 111
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char = x;code = 120
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char = t;code = 116
char = i;code = 105
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char = e;code = 101
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char = t;code = 116
char = ;code = 32
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char = a;code = 97
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char = l;code = 108
char = u;code = 117
char = r;code = 114
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char = e;code = 101
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char = e;code = 101
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char = f;code = 102
char = e;code = 101
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char = e;code = 101
char = ;code = 32
char = c;code = 99
char = a;code = 97
char = n;code = 110
char = d;code = 100
char = i;code = 105
char = d;code = 100
char = a;code = 97
char = t;code = 116
char = e;code = 101
char = ;code = 32
char = f;code = 102
char = o;code = 111
char = r;code = 114
char = ;code = 32
char = c;code = 99
char = l;code = 108
char = i;code = 105
char = n;code = 110
char = i;code = 105
char = c;code = 99
char = a;code = 97
char = l;code = 108
char = ;code = 32
char = u;code = 117
char = s;code = 115
char = e;code = 101
char = ;code = 32
char = i;code = 105
char = n;code = 110
char = ;code = 32
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char = a;code = 97
char = s;code = 115
char = e;code = 101
char = s;code = 115
char = ;code = 32
char = o;code = 111
char = f;code = 102
char = ;code = 32
char = H;code = 72
char = H;code = 72
char = V;code = 86
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char = 6;code = 54
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char = ;code = 32
char = a;code = 97
char = s;code = 115
char = s;code = 115
char = o;code = 111
char = c;code = 99
char = i;code = 105
char = a;code = 97
char = t;code = 116
char = e;code = 101
char = d;code = 100
char = ;code = 32
char = m;code = 109
char = y;code = 121
char = o;code = 111
char = c;code = 99
char = a;code = 97
char = r;code = 114
char = d;code = 100
char = i;code = 105
char = t;code = 116
char = i;code = 105
char = s;code = 115
char = .;code = 46
result sql = BACKGROUND : Human herpesvirus 6 (HHV-6) is an important cause of fulminant or acute viral myocarditis. However, insufficiency of standard antiviral treatment against HHV-6 is an emerging problem.

OBJECTIVES : To describe the case of child with HHV-6 myocarditis who was treated by unloading with a left ventricular assist device and Artesunate.

STUDY DESIGN : Case report supported by histological and viral diagnoses via a combination of histology/immunohistochemistry and polymerase chain reaction techniques performed on cardiac tissues before and after treatment.

RESULTS : Following therapeutic intervention, the clinical status and heart function improved. Endomyocardial biopsies revealed decreased levels of HHV-6B DNA in the myocardium and the disappearance of histological findings in support of lymphocytic myocarditis. Left ventricular assist device could be explanted. No adverse effects of Artesunate were noted.

CONCLUSIONS : In addition to existing heart failure treatments, Artesunate can be considered as an effective candidate for clinical use in cases of HHV-6B associated myocarditis.

Publication: J. Clin. Virol. 2013 Jun ;57(2)::157-60. :doi: 10.1016/j.jcv.2013.02.005. :pii: S1386-6532(13)00046-2.
Publication Date: 2013 Jun
Study Author(s): Hakacova, Nina;Klingel, Karin;Kandolf, Reinhard;Engdahl, Elin;Fogdell-Hahn, Anna;Higgins, Thomas;
Institution: Department of Pediatric Cardiology, Children's Heart Centre, Skåne University Hospital, Lund, Sweden. [email protected]
Shortcut link to this study:
BACKGROUND : Human herpesvirus 6 (HHV-6) is an important cause of fulminant or acute viral myocarditis. However, insufficiency of standard antiviral treatment against HHV-6 is an emerging problem.

OBJECTIVES : To describe the case of child with HHV-6 myocarditis who was treated by unloading with a left ventricular assist device and Artesunate.

STUDY DESIGN : Case report supported by histological and viral diagnoses via a combination of histology/immunohistochemistry and polymerase chain reaction techniques performed on cardiac tissues before and after treatment.

RESULTS : Following therapeutic intervention, the clinical status and heart function improved. Endomyocardial biopsies revealed decreased levels of HHV-6B DNA in the myocardium and the disappearance of histological findings in support of lymphocytic myocarditis. Left ventricular assist device could be explanted. No adverse effects of Artesunate were noted.

CONCLUSIONS : In addition to existing heart failure treatments, Artesunate can be considered as an effective candidate for clinical use in cases of HHV-6B associated myocarditis.
PMID: 23473961

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