Challenges of Diagnosing Viral Myocarditis in Adolescents in the Era of COVID-19 and MIS-C

Autor:	Sunny Chang, Richard Frye, Hemali P. Shah, Erin Faherty, Ruchika Karnik, Jeremy Steele
Rok vydání:	2021
Předmět:	Pediatrics medicine.medical_specialty Viral Myocarditis Myocarditis Coronavirus disease 2019 (COVID-19) medicine.diagnostic_test business.industry Case Report General Medicine medicine.disease Asymptomatic RJ1-570 Sudden cardiac death Erythrocyte sedimentation rate medicine medicine.symptom business Subclinical infection Rare disease
Zdroj:	Case Reports in Pediatrics, Vol 2021 (2021) Case Reports in Pediatrics
ISSN:	2090-6811 2090-6803
DOI:	10.1155/2021/4797498
Popis:	Myocarditis has a wide array of clinical presentations ranging from asymptomatic to sudden cardiac death. Pediatric myocarditis is a rare disease, with an estimated annual incidence of 1 to 2 per 100,000 children though its true prevalence remains unknown due to its variable and often subclinical presentation. The diagnosis of myocarditis is challenging in the era of COVID-19 and Multisystem Inflammatory Syndrome in Children (MIS-C), which can have overlapping clinical conundrum. Here, we present a case of a 17-year-old male presenting with chest tightness, shortness of breath, and electrocardiogram (EKG) findings concerning for myocardial injury along with elevated inflammatory markers such as D-dimer, ESR (Erythrocyte Sedimentation Rate), and CRP (C-Reactive Protein). We discuss the key elements of our clinical experience with this case and review the literature for pediatric myocarditis, with a focus on differentiating it from MIS-C in the current COVID-19 pandemic era.
Databáze:	OpenAIRE
Externí odkaz:	https://explore.openaire.eu/search/publication?articleId=doi_dedup___::adc51ae582ae76bcb2f59cac0db58cb8 https://doi.org/10.1155/2021/4797498 Zobrazit plný text záznamu Plný text ve formátu PDF Plný text ve formátu HTML
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