Myocarditis: Difference between revisions
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Revision as of 20:39, 22 August 2020
Background
- Inflammation of the myocardium
- Can be acute or chronic, leading to eventual cardiomyopathy
Etiology
- Infectious
- Viral
- Parvovirus B19
- HHV-6
- Coxsackie virus A and B
- Influenza virus A and B
- Hepatitis B virus
- Hepatitis C virus
- In developing countries: mumps, rubella, dengue, chikungunya, polio, Ebola, yellow fever
- Bacterial
- Corynebacterium diphtheriae
- Borrelia species
- In developing countries: Trypanosoma cruzi, Trypanosoma brucei gambiense, Trichinella spiralis
- Viral
- Non-infectious
- Connective tissue disorders
- Inflammatory or infiltrative diseases
- Hypersensitivity reactions
- Toxins
- Endocrinopathies
- Radiation
- Immunocompromised hosts
- Viral: HIV, CMV, EBV, VZV, adenovirus, parvovirus B19
- Fungal: Candida species, Cryptococcus species
- Parasitic: Toxoplasma gondii, Trypanosoma cruzi
Clinical Manifestations
- Fever, fatigue, malaise, chest pain, dyspnea, palpitations
- Friction rub if concomitant pericarditis
Diagnosis
- Endomyocardial biopsy
