Key result
A 52-year-old male presenting with severe chest pain mimicking acute myocardial infarction and aortic dissection was diagnosed with Coxsackie B virus-induced myopericarditis and improved with NSAIDs.
Case Report (n=1)
No
Myopericarditis can present with clinical features and ECG findings that closely mimic acute myocardial infarction and aortic dissection, requiring careful exclusion of life-threatening etiologies.
Answers are grounded in this paper and cite their sources.
Clinicians must exclude emergencies before attributing chest pain to myopericarditis; this case leaves open broader diagnostic implications.
Myocarditis can present in many different forms and can be overlooked by more life-threatening conditions. At times it may mimic conditions such as acute myocardial infarction and although it may have features highly suggestive of myocarditis, other etiologies need to be excluded. Thus, due to its clinical presentation, lab findings, and electrocardiogram analysis, it often can be confused with other conditions, making it a diagnostic dilemma of uncertainty. Myopericarditis is normally caused by viral infections, most common of which is coxsackievirus. Here we report a case of a 52-year-old gentleman who presented with a clinical picture of acute myocardial ischemia versus dissection, which overlooked a rather less threatening etiology of myopericarditis.
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Khan et al. (2015) conducted a case report in Myopericarditis (n=1). NSAIDs was evaluated. A 52-year-old male presenting with severe chest pain mimicking acute myocardial infarction and aortic dissection was diagnosed with Coxsackie B virus-induced myopericarditis and improved with NSAIDs.
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