Clinical Practice and Cases in Emergency Medicine

A 34-year-old female reported to the emergency department with a chief complaint of epigastric pain. Initial rapid screening was negative for both influenza A and B. The patient eventually developedmyocarditis that led to pulseless ventricular tachycardia and death within 24 hours of admission. Viral smear was positive for influenza B postmortem despite the initial negative rapid screen. This case demonstrates the need for a new diagnostic criteria and treatment strategy for viral myocarditis due to influenza while concisely illustrating how the disease can progress in adults despite commonly presenting as a disease in adolescents.