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Case Reports
. 2022 Dec 5;10(12):e6699.
doi: 10.1002/ccr3.6699. eCollection 2022 Dec.

Acute myocarditis in a young male after gastroenteritis: A case report and literature review

May Thu Kyaw  1 , Thein Myint  2 , Thant Zaw Lwin  3
Affiliations
Case Reports

Acute myocarditis in a young male after gastroenteritis: A case report and literature review

May Thu Kyaw et al. Clin Case Rep. .

Abstract

A 16-year-old patient presented with acute myocarditis after gastroenteritis. His ECGs showed STEMI-like evolutionary changes. Serial troponin measurement was maximum on 3rd day. Echocardiography showed a mildly reduced ejection fraction (45%). He made an uneventful recovery after appropriate treatment. After one-month follow-up, his ECG and echo returned to normal.

Keywords: ST‐elevation myocardial infarction (STEMI); electrocardiogram (ECG); gastroenteritis; myocarditis.

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Conflict of interest statement

The authors declare that there is no conflict of interest.

Figures

FIGURE 1
FIGURE 1
ECG showing T inversion in aVR and V1 with ST elevation in other leads without reciprocal ST depressions
FIGURE 2
FIGURE 2
Chest radiography (CXR)
FIGURE 3
FIGURE 3
Troponin‐T trends
FIGURE 4
FIGURE 4
ECG showing diffuse STE with upward concavity without reciprocal ST/T changes. Both notched and slurred terminal QRS can be seen.
FIGURE 5
FIGURE 5
Transthoracic echocardiography (TTE) showing LV end diastolic diameter (5.10 cm)
FIGURE 6
FIGURE 6
ECG showing ST elevation began to fall back with the appearance of T wave inversion in I, II, aVF, V5, and V6
See this image and copyright information in PMC

References

    1. Golpour A, Patriki D, Hanson PJ, McManus B, Heidecker B. Epidemiological impact of myocarditis. J Clin Med. 2021;10(4):603. doi:10.3390/jcm10040603 - DOI - PMC - PubMed
    1. Maron BJ, Doerer JJ, Haas TS, Tierney DM, Mueller FO. Sudden deaths in young competitive athletes: analysis of 1866 deaths in the United States, 1980‐2006. Circulation. 2009;119(8):1085‐1092. doi:10.1161/CIRCULATIONAHA.108.804617 - DOI - PubMed
    1. Caforio AL, Pankuweit S, Arbustini E, et al. Current state of knowledge on aetiology, diagnosis, management, and therapy of myocarditis: a position statement of the European Society of Cardiology Working Group on myocardial and pericardial diseases. Eur Heart J. 2013;34(33):2636‐2648. doi:10.1093/eurheartj/eht210 - DOI - PubMed
    1. Friedrich MG, Sechtem U, Schulz‐Menger J, et al. Cardiovascular magnetic resonance in myocarditis: a JACC white paper. J Am Coll Cardiol. 2009;53(17):1475‐1487. doi:10.1016/j.jacc.2009.02.007 - DOI - PMC - PubMed
    1. Tschöpe C, Cooper LT, Torre‐Amione G, Van Linthout S. Management of myocarditis‐related cardiomyopathy in adults. Circ Res. 2019;124(11):1568‐1583. doi:10.1161/CIRCRESAHA.118.313578 - DOI - PubMed

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