This case report highlights a paradoxical occurrence of spontaneous myopericarditis in a patient abusing dexamethasone, a drug class typically used to treat recurrent pericarditis.
Case suggests possible paradoxical myopericarditis with dexamethasone abuse; hypothesis-generating and should not change practice.
A majority of acute pericarditis cases have some degree of myocarditis. Viruses are the common etiological factor of this disease. Corticosteroids are considered for treatment, especially in recurrent models of the disease. In this article, we report the case of a 47-year-old man with myopericarditis who was under daily intra-muscular dexamethasone injection for an unknown reason. This is a unique case of spontaneous myopericarditis under corticosteroid abuse that has not been reported previously.
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Masih Tajdini (2015) studied this question.
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