title: [Myopericarditis in a 23-year-old male with herpes zoster].
abstract: The varicella zoster virus (VZV) belongs to cardiotropic viruses, although the frequency of cardiac complications during VZV infection is low. Diagnosis of myocarditis or myopericarditis is rare during varicella - primary infection of VZV and sporadic in zoster - reactivation of latent VZV. Only few such cases have been described. The authors present a case of a 23-year-old male in whom clinical symptoms of myopericarditis developed a week after diagnosis of zoster that was localized in the left-upper part of the thorax. Retrosternal chest pain and fever were accompanied by ECG mimicking acute myocardial infarction. A dynamic pattern of troponin I release and slow normalization of ECG were observed. Serial echocardiography showed normal left ventricular function, transient changes in echogenicity of the interventricular septum and small pericardial effusion. In magnetic resonance imaging subepicardial and intramyocardial areas of late gadolinium enhancement were found. He was treated with intravenous acyclovir. No late sequels of the disease were observed.
authors.affiliation: Józef Struś Hospital, Poznań, Poland: Department of Internal Medicine.
authors.forename: Waldemar
authors.initials: W
authors.lastname: Elikowski
authors.affiliation: Józef Struś Hospital, Poznań, Poland: Department of Infectious Disease.
authors.forename: Andrzej
authors.initials: A
authors.lastname: Marszałek
authors.affiliation: Uniwersytet Medyczny im. Karola Marcinkowskiego, Poznań: II Klinika Kardiologii.
authors.forename: Małgorzata
authors.initials: M
authors.lastname: Małek-Elikowska
authors.affiliation: Józef Struś Hospital, Poznań, Poland: Department of Cardiology.
authors.forename: Teresa
authors.initials: T
authors.lastname: Ganowicz-Kaatz
authors.affiliation: Józef Struś Hospital, Poznań, Poland: 2Department of Infectious Disease; Karol Marcinkowski University of Medical Sciences, Poznań, Poland: Department of Infectious Disease.
authors.forename: Iwona
authors.initials: I
authors.lastname: Mozer-Lisewska
mesh_terms: D000212:Acyclovir / Q000627:therapeutic use; D002637:Chest Pain; D004452:Echocardiography; D006562:Herpes Zoster / Q000150:complications* / Q000188:drug therapy; D014645:Herpesvirus 3, Human / Q000187:drug effects; D006801:Humans; D008279:Magnetic Resonance Imaging; D008297:Male; D009205:Myocarditis / Q000175:diagnosis / Q000188:drug therapy / Q000821:virology*; D010493:Pericarditis / Q000175:diagnosis / Q000188:drug therapy / Q000821:virology*; D055815:Young Adult
chemical_list: D000212:Acyclovir
keywords: herpes zoster; magnetic resonance imaging; myopericarditis; troponin; varicella zoster virus