Key result
A recent cytomegalovirus infection can lead to asymptomatic acute myopericarditis in a young immunocompetent patient, which can be diagnosed using cardiac MRI.
Case Report (n=1)
No
Cardiac MRI can identify asymptomatic but potentially severe acute myopericarditis in immunocompetent patients presenting with acute CMV infection.
May raise suspicion for occult myopericarditis in acute CMV; leaves open whether CMR screening alters outcomes.
Acute viral infections can lead to heart inflammation, including acute myocarditis. We report a rare case of myopericarditis in a young immunocompetent adult, in a context of recent Cytomegalovirus (CMV) infection. The clinical presentation was an influenzae-like syndrome, classical for a CMV infection, without any chest pain or dyspnea, but a systematic exploration showed multiple inflammation-compatible myopericardial images on MNR-scan. The diagnosis of asymptomatic myopericarditis was established. We present the MNR-scan findings and discuss the CMV cardiac effects and systematic cardiac MRI interest in viral infection.
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Roubille et al. (2010) conducted a case report in Acute myocarditis and Cytomegalovirus (CMV) infection (n=1). Cytomegalovirus (CMV) infection was evaluated on Diagnosis of acute myopericarditis. A recent cytomegalovirus infection can lead to asymptomatic acute myopericarditis in a young immunocompetent patient, which can be diagnosed using cardiac MRI.
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