Acute myocarditis in a young male after gastroenteritis: A case report and literature review

A 16‐year‐old patient presented with acute myocarditis after gastroenteritis. His ECGs showed STEMI‐like evolutionary changes. Serial troponin measurement was maximum on 3rd day. Echocardiography showed a mildly reduced ejection fraction (45%). He made an uneventful recovery after appropriate treatm...

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Published in:	Clinical case reports Vol. 10; no. 12; pp. e6699 - n/a
Main Authors:	Kyaw, May Thu, Myint, Thein, Lwin, Thant Zaw
Format:	Journal Article
Language:	English
Published:	England John Wiley & Sons, Inc 01-12-2022 John Wiley and Sons Inc Wiley
Subjects:	Antigens Biopsy Cardiomyopathy Case Report Case reports Coronaviruses COVID-19 electrocardiogram (ECG) Electrocardiography Gastroenteritis Heart High density lipoprotein Inflammation Laboratories Myocarditis Pain Patients Salmonella ST‐elevation myocardial infarction (STEMI) Supervision Viral infections ST‐elevation myocardial infarction (STEMI) electrocardiogram (ECG) gastroenteritis myocarditis
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Abstract	A 16‐year‐old patient presented with acute myocarditis after gastroenteritis. His ECGs showed STEMI‐like evolutionary changes. Serial troponin measurement was maximum on 3rd day. Echocardiography showed a mildly reduced ejection fraction (45%). He made an uneventful recovery after appropriate treatment. After one‐month follow‐up, his ECG and echo returned to normal. Gastroenteritis can be complicated by life‐threatening cardiac manifestations. Myocarditis should be considered when a person, without conventional atherosclerosis risks, presents with chest pain, arrhythmia, and cardiogenic shock after gastroenteritis. Timely diagnosis and prompt treatment are crucial to prevent chronic myocarditis and cardiomyopathy.
AbstractList	Abstract A 16‐year‐old patient presented with acute myocarditis after gastroenteritis. His ECGs showed STEMI‐like evolutionary changes. Serial troponin measurement was maximum on 3rd day. Echocardiography showed a mildly reduced ejection fraction (45%). He made an uneventful recovery after appropriate treatment. After one‐month follow‐up, his ECG and echo returned to normal. Gastroenteritis can be complicated by life‐threatening cardiac manifestations. Myocarditis should be considered when a person, without conventional atherosclerosis risks, presents with chest pain, arrhythmia, and cardiogenic shock after gastroenteritis. Timely diagnosis and prompt treatment are crucial to prevent chronic myocarditis and cardiomyopathy. A 16-year-old patient presented with acute myocarditis after gastroenteritis. His ECGs showed STEMI-like evolutionary changes. Serial troponin measurement was maximum on 3rd day. Echocardiography showed a mildly reduced ejection fraction (45%). He made an uneventful recovery after appropriate treatment. After one-month follow-up, his ECG and echo returned to normal. A 16-year-old patient presented with acute myocarditis after gastroenteritis. His ECGs showed STEMI-like evolutionary changes. Serial troponin measurement was maximum on 3rd day. Echocardiography showed a mildly reduced ejection fraction (45%). He made an uneventful recovery after appropriate treatment. After one-month follow-up, his ECG and echo returned to normal.A 16-year-old patient presented with acute myocarditis after gastroenteritis. His ECGs showed STEMI-like evolutionary changes. Serial troponin measurement was maximum on 3rd day. Echocardiography showed a mildly reduced ejection fraction (45%). He made an uneventful recovery after appropriate treatment. After one-month follow-up, his ECG and echo returned to normal. Abstract A 16‐year‐old patient presented with acute myocarditis after gastroenteritis. His ECGs showed STEMI‐like evolutionary changes. Serial troponin measurement was maximum on 3rd day. Echocardiography showed a mildly reduced ejection fraction (45%). He made an uneventful recovery after appropriate treatment. After one‐month follow‐up, his ECG and echo returned to normal. A 16‐year‐old patient presented with acute myocarditis after gastroenteritis. His ECGs showed STEMI‐like evolutionary changes. Serial troponin measurement was maximum on 3rd day. Echocardiography showed a mildly reduced ejection fraction (45%). He made an uneventful recovery after appropriate treatment. After one‐month follow‐up, his ECG and echo returned to normal. Gastroenteritis can be complicated by life‐threatening cardiac manifestations. Myocarditis should be considered when a person, without conventional atherosclerosis risks, presents with chest pain, arrhythmia, and cardiogenic shock after gastroenteritis. Timely diagnosis and prompt treatment are crucial to prevent chronic myocarditis and cardiomyopathy.
Author	Lwin, Thant Zaw Kyaw, May Thu Myint, Thein
AuthorAffiliation	1 Heart and Vascular Center Victoria Hospital Yangon Myanmar 2 Department of Medicine University of Medicine Yangon Myanmar 3 Department of Cardiology University of Medicine Yangon Myanmar
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Cites_doi	10.1136/heartjnl-2012-301686 10.1161/CIR.0b013e31829e8776 10.1111/anec.12726 10.1161/CIRCULATIONAHA.108.804617 10.1161/CIRCRESAHA.118.313578 10.7759/cureus.11671 10.3390/jcm10040603 10.1002/clc.22088 10.1093/eurheartj/eht210 10.1016/j.jacc.2009.02.007
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Snippet	A 16‐year‐old patient presented with acute myocarditis after gastroenteritis. His ECGs showed STEMI‐like evolutionary changes. Serial troponin measurement was... A 16-year-old patient presented with acute myocarditis after gastroenteritis. His ECGs showed STEMI-like evolutionary changes. Serial troponin measurement was... Abstract A 16‐year‐old patient presented with acute myocarditis after gastroenteritis. His ECGs showed STEMI‐like evolutionary changes. Serial troponin... Abstract A 16‐year‐old patient presented with acute myocarditis after gastroenteritis. His ECGs showed STEMI‐like evolutionary changes. Serial troponin...
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Title	Acute myocarditis in a young male after gastroenteritis: A case report and literature review
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