Acute myocarditis mimicking myocardial infarction can be the initial presentation of Epstein-Barr virus infection, preceding the typical signs and symptoms of infectious mononucleosis.
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EBV myocarditis mimicking MI may precede mononucleosis; hypothesis-generating and leaves open need for targeted testing.
This case report describes a 20-year-old immunocompetent man with an episode of chest pain radiating into both arms, an increase in the level of myocardial enzymes, electrocardiogram abnormalities (widespread ST-segment elevation and q waves in leads V(4)-V(6)) and serological evidence for acute Epstein-Barr Virus infection preceding typical signs and symptoms of infectious mononucleosis.
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López et al. (2010) studied this question.
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