AI Article Synopsis
- * A 44-year-old man presented with symptoms like fever and chest pain, leading to a diagnosis of pericardial effusion and sepsis, which was treated through pericardiocentesis and antibiotics.
- * The follow-up revealed myocarditis despite normal Troponin T levels, and this case underscores the importance of cardiac MRI in evaluating myocarditis and heart function, especially in patients with underlying health conditions like diabetes.
Article Abstract
Background: Acute myopericarditis can be caused by a myriad of infectious and non-infectious aetiologies, however, it is often considered to be due to self-limiting viral infection. spp. myopericarditis is rare and the few cases in the literature suggest significant associated morbidity and mortality.
Case Summary: A 44-year-old man presented with fever, dyspnoea, and chest pain. He was found to have a large pericardial effusion with clinical signs of tamponade and sepsis. Therapeutic pericardiocentesis was performed and ceftriaxone and levofloxacin were administered. Fully sensitive serovar Enteritidis ( Enteritidis) was isolated in his pericardial fluid and he made a full recovery after a 4-week course of ciprofloxacin. A new diagnosis of type 2 diabetes mellitus was made on admission. A follow-up cardiac magnetic resonance (CMR) scan was suggestive of myocarditis which was unexpected given a normal Troponin T level on presentation.
Discussion: We report a rare case of Enteritidis myopericarditis. Our case is notable as the patient was immunocompetent apart from newly diagnosed diabetes. This case highlights the value of CMR imaging in assessing for myocarditis and ventricular function.
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| http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7501925 | PMC |
| http://dx.doi.org/10.1093/ehjcr/ytaa173 | DOI Listing |
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View Article and Find Full Text PDFArticle Synopsis
- - Acute recurrent myopericarditis is a rare condition that occurs after a symptom-free period of 4-6 weeks, with no clear management guidelines, making it difficult to understand its causes and treatment.
- - A case study of a 44-year-old man showed he had recurrent myopericarditis caused by Coxsackie A virus, diagnosed through elevated biomarkers and pericardial effusion, and he improved with colchicine and ibuprofen.
- - The recurrence of myopericarditis can happen in 15%-50% of cases and is linked to various factors, but using current treatment methods for recurrent pericarditis has led to significant symptom relief, highlighting the need for more research into
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