During most infections plasma, concentrations of trace elements change, but
it is unclear if this reflects changes in infected target tissues. In coxs
ackievirus B3 (CB3) infection, the myocardium is a target in both humans an
d mice. The concentrations of 12 trace elements were analyzed by inductivel
y coupled plasma-mass spectrometry (ICP-MS) in the myocardium of sham-inocu
lated controls and infected A/J mice 4 and 7 d postinoculation. The size of
the inflammatory lesion was positively correlated to the virus content of
the heart, as estimated by histopathology and in situ hybridization, respec
tively. Iron, cobalt, vanadium, and selenium showed transient changes, wher
eas for the other elements, tendencies on d 4 were manifest on d 7. A three
fold increase in calcium on d 7 suggests prestages of calcification, wherea
s increases in zinc, selenium, and copper may be the result of the accumula
tion of immune cells. The magnesium decrease may contribute to the increase
d sensitivity to cardiac arrhythmias in myocarditis.