Perimyocarditis. Report on an unusual cause.

Abstract:

:A 29-year-old man had a febrile illness accompanied by chest pain and tachycardia. The ECG suggested either myocarditis or acute ischemia. Heart muscle enzymes were normal, the peripheral blood count showed absolute and relative lymphocytosis, and an echocardiogram disclosed a small pericardial effusion. After defervescence, splenomegaly was noted and the SGPT level was elevated to four times normal. There was a greater than fourfold rise in titer of IgM antibodies to cytomegalovirus. This is only the second report in detail of perimyocarditis caused by cytomegalovirus mononucleosis. An interesting aspect of the case was an afebrile prodrome that lasted for more than one week, during which prostration, palpitations, and breathlessness on exertion were present and the sole physical finding was tachycardia.

journal_name

Postgrad Med

journal_title

Postgraduate medicine

authors

Biton A,Herman J

doi

10.1080/00325481.1989.11700655

subject

Has Abstract

pub_date

1989-04-01 00:00:00

pages

77-80

issue

5

eissn

0032-5481

issn

1941-9260

journal_volume

85

pub_type

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