Myopericarditis associated with central European tick-borne encephalitis.
The case of an 11-year-old child with acute myopericarditis associated with central European tick-borne encephalitis is presented. Cardiac involvement was demonstrated by pericardial effusion, elevated serum concentration of troponin-I and cardiac arrhythmia. Co-infections with enteroviruses, Borrelia burgdorferi or the agent of human granulocytic ehrlichiosis were excluded. Recovery was uneventful.


CONCLUSIONS
Central European tick-borne encephalitis can be complicated by cardiac involvement.
Duppenthaler
A
A
Department of Paediatrics, University of Bern, Inselspital, Switzerland.
Pfammatter
J P
JP
Aebi
C
C
D001145:Arrhythmias, Cardiac / Q000175:diagnosis; D002648:Child; D016873:Ehrlichiosis / Q000150:complications; D004562:Electrocardiography; D004669:Encephalitis Viruses, Tick-Borne / Q000302:isolation & purification*; D004675:Encephalitis, Tick-Borne / Q000150:complications*; D005260:Female; D006801:Humans; D010493:Pericarditis / Q000175:diagnosis / Q000821:virology*; D019210:Troponin I / Q000097:blood
D019210:Troponin I