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Challenges of Diagnosing Viral Myocarditis in Adolescents in the Era of COVID-19 and MIS-C
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 pr...
Autores principales: | , , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
Hindawi
2021
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8490073/ https://www.ncbi.nlm.nih.gov/pubmed/34616578 http://dx.doi.org/10.1155/2021/4797498 |
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author | Shah, Hemali P. Frye, Richard Chang, Sunny Faherty, Erin Steele, Jeremy Karnik, Ruchika |
author_facet | Shah, Hemali P. Frye, Richard Chang, Sunny Faherty, Erin Steele, Jeremy Karnik, Ruchika |
author_sort | Shah, Hemali P. |
collection | PubMed |
description | 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. |
format | Online Article Text |
id | pubmed-8490073 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2021 |
publisher | Hindawi |
record_format | MEDLINE/PubMed |
spelling | pubmed-84900732021-10-05 Challenges of Diagnosing Viral Myocarditis in Adolescents in the Era of COVID-19 and MIS-C Shah, Hemali P. Frye, Richard Chang, Sunny Faherty, Erin Steele, Jeremy Karnik, Ruchika Case Rep Pediatr Case Report 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. Hindawi 2021-10-04 /pmc/articles/PMC8490073/ /pubmed/34616578 http://dx.doi.org/10.1155/2021/4797498 Text en Copyright © 2021 Hemali P. Shah et al. https://creativecommons.org/licenses/by/4.0/This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited. |
spellingShingle | Case Report Shah, Hemali P. Frye, Richard Chang, Sunny Faherty, Erin Steele, Jeremy Karnik, Ruchika Challenges of Diagnosing Viral Myocarditis in Adolescents in the Era of COVID-19 and MIS-C |
title | Challenges of Diagnosing Viral Myocarditis in Adolescents in the Era of COVID-19 and MIS-C |
title_full | Challenges of Diagnosing Viral Myocarditis in Adolescents in the Era of COVID-19 and MIS-C |
title_fullStr | Challenges of Diagnosing Viral Myocarditis in Adolescents in the Era of COVID-19 and MIS-C |
title_full_unstemmed | Challenges of Diagnosing Viral Myocarditis in Adolescents in the Era of COVID-19 and MIS-C |
title_short | Challenges of Diagnosing Viral Myocarditis in Adolescents in the Era of COVID-19 and MIS-C |
title_sort | challenges of diagnosing viral myocarditis in adolescents in the era of covid-19 and mis-c |
topic | Case Report |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8490073/ https://www.ncbi.nlm.nih.gov/pubmed/34616578 http://dx.doi.org/10.1155/2021/4797498 |
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