title: Neonatal myocardial infarction or myocarditis?
abstract: We report a 29 week-gestation preterm infant who presented during his second week of life with cardiogenic shock. Clinical presentation and first diagnostics suggested myocardial infarction, but echocardiographic features during follow-up pointed to a diagnosis of enteroviral myocarditis. The child died of chronic heart failure at 9 months of age. Autopsy showed passed myocardial infarction. No signs for active myocarditis were found. We discuss the difficulties in differentiating between neonatal myocardial infarction and myocarditis. Recognizing enteroviral myocarditis as cause for cardiogenic shock is of importance because of the therapeutic options.
authors.affiliation: Department of Neonatology, University Medical Centre Groningen, Hanzeplein 1, P. O. Box 30.001, 9700 RB, Groningen, The Netherlands. l.de.vetten@isala.nl
authors.forename: Leanne
authors.initials: L
authors.lastname: de Vetten
authors.forename: Klasien A
authors.initials: KA
authors.lastname: Bergman
authors.forename: Nynke J
authors.initials: NJ
authors.lastname: Elzenga
authors.forename: Joost P
authors.initials: JP
authors.lastname: van Melle
authors.forename: Albertus
authors.initials: A
authors.lastname: Timmer
authors.forename: Beatrijs
authors.initials: B
authors.lastname: Bartelds
mesh_terms: D003331:Coronary Vessels / Q000473:pathology*; D003937:Diagnosis, Differential; D004562:Electrocardiography; D017809:Fatal Outcome; D006801:Humans; D007231:Infant, Newborn; D008297:Male; D009203:Myocardial Infarction / Q000175:diagnosis* / Q000503:physiopathology; D009205:Myocarditis / Q000175:diagnosis*