A teenager with adenoviral myocarditis mimicking hypertrophic cardiomyopathy

A 14-year-old previously healthy female presented with chest pain and dyspnoea for 2 days in the setting of a recent upper respiratory infection. She had elevated inflammatory markers and troponin, resulting in the diagnosis of acute myocarditis. Transthoracic echocardiography demonstrated mild syst...

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Veröffentlicht in:Cardiology in the young 2023-10, Vol.33 (10), p.2110-2112
Hauptverfasser: Aydin, Aybike, Ali, Farwa, Khariton, Megan, Spencer, Robert
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Ali, Farwa
Khariton, Megan
Spencer, Robert
description A 14-year-old previously healthy female presented with chest pain and dyspnoea for 2 days in the setting of a recent upper respiratory infection. She had elevated inflammatory markers and troponin, resulting in the diagnosis of acute myocarditis. Transthoracic echocardiography demonstrated mild systolic dysfunction and a moderate pericardial effusion. Additionally, her echocardiogram showed concentric left ventricular hypertrophy raising concern for hypertrophic cardiomyopathy. She was treated with intravenous immunoglobulin. Serial echocardiograms revealed rapid resolution of her ventricular hypertrophy. Cardiac magnetic resonance confirmed the diagnosis of myocarditis.
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She had elevated inflammatory markers and troponin, resulting in the diagnosis of acute myocarditis. Transthoracic echocardiography demonstrated mild systolic dysfunction and a moderate pericardial effusion. Additionally, her echocardiogram showed concentric left ventricular hypertrophy raising concern for hypertrophic cardiomyopathy. She was treated with intravenous immunoglobulin. Serial echocardiograms revealed rapid resolution of her ventricular hypertrophy. 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source Cambridge Journals Online
subjects Adenoviruses
Cardiomyopathy
Diagnosis
Dyspnea
Echocardiography
Effusion
Ejection fraction
Electrocardiography
Emergency medical care
General Cardiology
Heart diseases
Hypertrophy
Immunoglobulins
Infections
Inflammation
Magnetic resonance
Myocarditis
Respiration
Respiratory tract infection
Troponin
Ultrasonic imaging
Ventricle
Viral infections
title A teenager with adenoviral myocarditis mimicking hypertrophic cardiomyopathy
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