title: A case of seasonal recurrent myopericarditis.
abstract: Myopericarditis occurs in 15% of patients with pericarditis. Recurrent myopericarditis occurs in 15% to 30% of patients after partial or complete recovery from acute myopericarditis. Relapse often occurs within 1 month of an initial episode. The standard of care for pericarditis or myopericarditis is initial treatment with nonsteroidal anti-inflammatory drugs for 10 to 14 days. Colchicine is often administered for 3 to 6 months for residual chest pain due to myopericarditis. The authors present a case of seasonal recurrent myopericarditis in a 32-year-old man who presented with severe chest pain in nearly the same month for 4 consecutive years. The authors conducted an extensive review of the literature but found no other case reports of seasonal recurrent myopericarditis. If a patient presents with severe chest pain requiring hospitalization, physicians should consider prescribing nonsteroidal anti-inflammatory drugs or colchicine before seasonal symptom recurrence.
authors.affiliation: Department of Internal Medicine, Summa Health System, 75 Arch St, Suite #501, Akron, OH 44304-1424. ldivoky@neomed.edu.
authors.forename: Laura
authors.initials: L
authors.lastname: Divoky
authors.forename: Rex D
authors.initials: RD
authors.lastname: Wilford
mesh_terms: D000208:Acute Disease; D000328:Adult; D000894:Anti-Inflammatory Agents, Non-Steroidal / Q000008:administration & dosage; D004562:Electrocardiography; D006801:Humans; D008297:Male; D009205:Myocarditis / Q000097:blood / Q000188:drug therapy / Q000453:epidemiology*; D009288:Naproxen / Q000008:administration & dosage; D010493:Pericarditis / Q000097:blood / Q000188:drug therapy / Q000453:epidemiology*; D012008:Recurrence; D012621:Seasons; D016683:Supine Position
chemical_list: D000894:Anti-Inflammatory Agents, Non-Steroidal; D009288:Naproxen