Acute Epstein-Barr virus myocarditis simulating myocardial infarction with cardiogenic shock.
We have reported the case of a 38-year-old white woman with substernal chest pain, hypotension, and ECG changes suggesting acute anterior myocardial infarction. Cardiac catheterization revealed no coronary artery pathology, but severe global hypokinesia was noted on left ventriculogram and endomyocardial biopsy revealed myocytic degeneration and mononuclear cell infiltration consistent with acute viral myocarditis. Viral serologies confirmed a recent Epstein-Barr virus infection.
Tyson
A A
AA
Department of Internal Medicine, Bowman Gray School of Medicine, Winston-Salem, NC 27103.
Hackshaw
B T
BT
Kutcher
M A
MA
D000208:Acute Disease; D000328:Adult; D000914:Antibodies, Viral / Q000032:analysis; D006328:Cardiac Catheterization; D003937:Diagnosis, Differential; D004630:Emergencies; D005260:Female; D006566:Herpesviridae Infections; D004854:Herpesvirus 4, Human / Q000276:immunology; D006801:Humans; D007074:Immunoglobulin G / Q000032:analysis; D009203:Myocardial Infarction / Q000150:complications / Q000175:diagnosis*; D009205:Myocarditis / Q000175:diagnosis* / Q000209:etiology / Q000276:immunology / Q000473:pathology; D012770:Shock, Cardiogenic / Q000150:complications / Q000175:diagnosis*
D000914:Antibodies, Viral; D007074:Immunoglobulin G