Acute myopericarditis after multiple vaccinations in an adolescent: case report and review of the literature.
We report a case of postvaccination acute myopericarditis in an adolescent. The patient presented with acute chest pain, diffuse ST-segment elevation, and elevated cardiac enzyme levels. Cardiac MRI was consistent with acute myocarditis. He recovered within a few days with nonsteroidal antiinflammatory treatment and remains clinically stable, with improvement of MRI findings at the 10-week follow-up. Postvaccination cases of myopericarditis reported in the pediatric literature are also reviewed.
Thanjan
Maria T
MT
Department of Pediatric Cardiology, Mount Sinai Medical Center, New York, New York, USA.
Ramaswamy
Prema
P
Lai
Wyman W
WW
Lytrivi
Irene D
ID
D000208:Acute Disease; D000293:Adolescent; D022681:Diphtheria-Tetanus-acellular Pertussis Vaccines / Q000009:adverse effects; D022362:Hepatitis A Vaccines / Q000009:adverse effects; D006801:Humans; D008297:Male; D022401:Meningococcal Vaccines / Q000009:adverse effects; D009205:Myocarditis / Q000175:diagnosis* / Q000209:etiology / Q000503:physiopathology; D010493:Pericarditis / Q000175:diagnosis* / Q000209:etiology / Q000503:physiopathology; D014611:Vaccination / Q000009:adverse effects*
D022681:Diphtheria-Tetanus-acellular Pertussis Vaccines; D022362:Hepatitis A Vaccines; D022401:Meningococcal Vaccines