Acute malignant myocarditis and pleurodynia as the manifestation of a probable Coxsackie B viral infection

: The authors describe a 45-year-old female patient suffering from rapid-progressing myocarditis with growing disorders in conduction, repolarization alterations and heart dilatation seen for 3 days. The patient died on the 10th day of the disease which started from fever and catarrhal phenomena. Attack-like pains in the right half of the chest and abdomen, removable by narcotics, were a remarkable disease manifestation. The diagnosis of myocarditis was verified morphologically. The disease may be interpreted as infection with Coxsackie B virus associated with myocarditis and pleurodynia.