Key result
Varicella-zoster infection presents as acute myocarditis mimicking acute MI.
Why the study?
Acute myocarditis can mimic acute myocardial infarction, posing diagnostic challenges in clinical practice.
Case Report (n=1)
Varicella-zoster myocarditis can closely mimic acute myocardial infarction, highlighting the diagnostic challenges in acute myocarditis.
Case highlights diagnostic pitfalls in young adults with STEMI-like presentation and rash; leaves open need for prospective studies on varicella myocarditis.
A 23-year-old male was admitted with chest pain. The electrocardiogram showed ST elevation in leads DI, aVL, V2-V6. Troponin T was 1.1ng/mL. Left ventricular systolic function was globally reduced (ejection fraction 45%). The patient was treated with thrombolytic. Twenty-four hours after admission pruriginous vesicles with a clear content and surrounded by a pink halo appeared on his face, head and torso, suggesting varicella-zoster infection. This case illustrates the difficulties of diagnosis in acute myocarditis.
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Donoiu et al. (2014) conducted a case report in Varicella-zoster myocarditis (n=1). Varicella-zoster infection was evaluated. Varicella-zoster infection can present as acute myocarditis mimicking acute myocardial infarction, illustrating the difficulties of diagnosis in acute myocarditis.
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