“Double-hit” precipitates fulminant cardiac dysfunction in a child with homozygous CAP2 variant: a case report
By
Zhenhui Pan
Jiaojiao Wan
Kaiyu Zhou
Min Tan
Yifei Li
June 9, 2026
Objective: To report a case of dilated cardiomyopathy (DCM) in a child with a homozygous CAP2 mutation triggered by a respiratory viral infection.
Key Findings: The patient exhibited severe cardiac dysfunction linked to a homozygous CAP2 mutation. Respiratory viral infection served as a trigger for the patient's cardiac deterioration. The CAP2 mutation disrupts cytoskeletal integrity, impacting cardiac function. Interpretation: This case presents a unique instance of DCM in a child with a homozygous CAP2 mutation and highlights the potential role of environmental triggers.
Limitations: The findings are based on a single case study, limiting generalizability. Long-term outcomes and the impact of interventions remain to be fully assessed. Conclusion: The case suggests the importance of genetic screening in pediatric patients with unexplained cardiac issues.