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A teenager with adenoviral myocarditis mimicking hypertrophic cardiomyopathy

Published online by Cambridge University Press:  25 April 2023

Aybike Aydin
Affiliation:
Staten Island University Hospital, Zucker School of Medicine at Hofstra Northwell, Staten Island, NY, USA
Farwa Ali
Affiliation:
Staten Island University Hospital, Zucker School of Medicine at Hofstra Northwell, Staten Island, NY, USA
Megan Khariton
Affiliation:
Staten Island University Hospital, Zucker School of Medicine at Hofstra Northwell, Staten Island, NY, USA
Robert Spencer*
Affiliation:
Staten Island University Hospital, Zucker School of Medicine at Hofstra Northwell, Staten Island, NY, USA
*
Author for correspondence: Dr. Robert Spencer, Staten Island University Hospital, Zucker School of Medicine at Hofstra Northwell, Staten Island, NY, USA. E-mail: rspencer@northwell.edu

Abstract

A 14-year-old previously healthy female presented with chest pain and dyspnoea for 2 days in the setting of a recent upper respiratory infection. She had elevated inflammatory markers and troponin, resulting in the diagnosis of acute myocarditis. Transthoracic echocardiography demonstrated mild systolic dysfunction and a moderate pericardial effusion. Additionally, her echocardiogram showed concentric left ventricular hypertrophy raising concern for hypertrophic cardiomyopathy. She was treated with intravenous immunoglobulin. Serial echocardiograms revealed rapid resolution of her ventricular hypertrophy. Cardiac magnetic resonance confirmed the diagnosis of myocarditis.

Type
Brief Report
Copyright
© The Author(s), 2023. Published by Cambridge University Press

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