Acute myocarditis in a young male after gastroenteritis: A case report and literature review. Issue 12 (5th December 2022)

• Record Type: Journal Article
• Authors: Kyaw, May Thu; Myint, Thein; Lwin, Thant Zaw
• Is Part Of: Clinical case reports. Volume 10:Issue 12(2022)
• Page Start: n/a
• Page End: n/a
• Publication Date: 2022-12-05
• Subjects: electrocardiogram (ECG) -- gastroenteritis -- myocarditis -- ST‐elevation myocardial infarction (STEMI); Medicine -- Periodicals; 616.09
• DOI: 10.1002/ccr3.6699
• Languages: English
• ISSNs: 2050-0904

Abstract

Abstract: A 16‐year‐old patient presented with acute myocarditis after gastroenteritis. His ECGs showed STEMI‐like evolutionary changes. Serial troponin measurement was maximum on 3rd day. Echocardiography showed a mildly reduced ejection fraction (45%). He made an uneventful recovery after appropriate treatment. After one‐month follow‐up, his ECG and echo returned to normal. Abstract : Gastroenteritis can be complicated by life‐threatening cardiac manifestations. Myocarditis should be considered when a person, without conventional atherosclerosis risks, presents with chest pain, arrhythmia, and cardiogenic shock after gastroenteritis. Timely diagnosis and prompt treatment are crucial to prevent chronic myocarditis and cardiomyopathy.