Myopericarditis--diagnostic dilemmas in relation to acute myocardial infarction.
BACKGROUND
Myopericarditis with clinical presentation of chest pain, electrocardiographic changes and positive cardio specific enzymes is often a differential diagnostic dilemma in relation to acute myocardial infarction. Literature data are very scarce and only case reports or small series of patients can be found in the literature so each case is a significant contribution to this issue.


METHODS
A 19-year-old patient was admitted to the intensive care unit, with chest pain, electrocardiographic signs of suspected myocardial lesion and highly positive cardio specific enzymes. Since echocardiography revealed segmental hypocinesia of the left ventricle, urgent coronary angiography was done, which diagnosed normal luminogram of coronary arteries. Having received the adequate therapy, the patient was subjectively asymptomatic, hemodynamically stable, sub-febrile at the beginning of hospitalization. Two weeks after admission, the patient was discharged in good condition with diagnosis of myopericarditis.


CONCLUSIONS
This case shows that it is sometimes difficult to differentiate acute miopericarditis from acute myocardial infarction only according to anamnesis, clinical, electrocardiographic sings and echocardiography.
University of Novi Sad, Medical Faculty, Novi Sad. ivanovigor05@gmail.com
Igor
I
Ivanov
Jadranka
J
Dejanović
Olivera
O
Ivanov
Milovan
M
Petrović
Robert
R
Jung
Gordana
G
Panić
D000806:Angiotensin-Converting Enzyme Inhibitors / Q000008:administration & dosage; D000900:Anti-Bacterial Agents / Q000008:administration & dosage; D017023:Coronary Angiography; D003422:Critical Care; D003937:Diagnosis, Differential; D004452:Echocardiography; D004562:Electrocardiography; D006801:Humans; D008297:Male; D055624:Methicillin-Resistant Staphylococcus aureus / Q000187:drug effects / Q000302:isolation & purification; D009203:Myocardial Infarction / Q000175:diagnosis*; D009205:Myocarditis / Q000175:diagnosis* / Q000188:drug therapy / Q000382:microbiology; D010343:Patient Admission; D010493:Pericarditis / Q000175:diagnosis* / Q000188:drug therapy / Q000382:microbiology; D013203:Staphylococcal Infections / Q000150:complications / Q000188:drug therapy; D016896:Treatment Outcome; D055815:Young Adult
D000806:Angiotensin-Converting Enzyme Inhibitors; D000900:Anti-Bacterial Agents