Abstract
We report a case of myopericarditis concomitant with pneumonia. The patient presented at the emergency service with chest pain and had been referred to our hospital with a diagnosis of myocardial infarction. At the time of admission he had ST elevation (DII, DIII, aVF, V3-V6) on ECG, cardiac troponin I elevation (15.4 ng/ml, N:<0.06) and pneumonic infiltration on chest radiography. He was hospitalized, and antibiotic and anti-inflammatory treatment was administered. He was discharged after 10 days of treatment. Although the most common causative agent of myopericarditis is viruses, bacterial infections can also rarely lead to myocarditis. Most cases of myopericarditis are subclinical and the cardiac symptoms and signs can be masked by systemic manifestations of infection and inflammation. Management of myopericarditis includes avoidance of physical activity, administering anti-inflammatory treatment and possibly treatment of the underlying disease
Keywords: Chest pain, Myocarditis, Pericarditis, Pneumonia
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