A rare case of acute 'infective' myocardial infarction triggered by acute parvovirus B19 myocarditis.
BACKGROUND
A 25-year-old obese male (BMI 31.9 kg/m(2)) presented with atypical chest pain of sudden onset that was indistinguishable from acute myocardial infarction. He had tachycardia (104 beats/min) and dyspnea at a low level of exercise. He had no previous cardiac history, but his cardiovascular risk profile included a familial predisposition, smoking and hypertension.


METHODS
Electrocardiogram, laboratory testing, chest radiography, echocardiography, coronary angiography, intravascular ultrasonography and endomyocardial biopsy.


METHODS
Acute myocardial infarction and parvovirus-B19-positive myocarditis.


RESULTS
Percutaneous transluminal coronary angioplasty with intracoronary abciximab, heparin and nitroglycerin infusion.
Gutersohn
Achim
A
Department of Cardiology, University Duisburg-Essen, Germany. Achim.Gutersohn@uni-essen.de
Zimmermann
Ulrich
U
Bartel
Thomas
T
Erbel
Raimund
R
D000208:Acute Disease; D000328:Adult; D000914:Antibodies, Viral / Q000032:analysis; D001706:Biopsy; D017023:Coronary Angiography; D004279:DNA, Viral / Q000032:analysis; D003937:Diagnosis, Differential; D005500:Follow-Up Studies; D006801:Humans; D008297:Male; D009203:Myocardial Infarction / Q000000981:diagnostic imaging / Q000209:etiology*; D009205:Myocarditis / Q000150:complications* / Q000473:pathology / Q000821:virology; D009206:Myocardium / Q000473:pathology; D010322:Parvoviridae Infections / Q000150:complications* / Q000473:pathology / Q000821:virology; D016732:Parvovirus B19, Human / Q000235:genetics / Q000276:immunology
D000914:Antibodies, Viral; D004279:DNA, Viral