Case Report

Acute viral myocarditis due to Influenza H3N2 infection resembling an acute coronary syndrome: A case report

Carlos Jesus Rodriguez-Zuñiga*, Leonel Martínez-Ramírez, Carlos Alberto Guizar-Sanchez, Mauricio Quetzal Trejo-Mondragon and Nilda Espinola-Zavaleta

Published: 20 June, 2019 | Volume 4 - Issue 2 | Pages: 041-042

A 16-year-old man with history of two weeks-flu like symptoms with intermittent fever. He came to the emergency department with 2 hours-chest pain that radiates to the back and upper extremities. At the admission he was hemodynamically stable with normal blood pressure The ECG showed sinus rhythm and ST segment elevation of 0.5 mV in all leads (Figure 1A). The cardiac enzymes were elevated (Troponin 12.19 ng/mLland creatine kinase-MB fraction 63.25 U/L). He was admitted to the Intensive Care Unit and later transferred to our medical unit to continue with study protocol. The transthoracic echocardiogram (Figure 1B) reported normal left ventricular systolic function with left ventricular ejection fraction (LVEF) 68%, global longitudinal strain -18%, TAPSE 30 mm, and normal systolic pulmonary artery pressure (30 mmHg).

Read Full Article HTML DOI: 10.29328/journal.jccm.1001039 Cite this Article Read Full Article PDF


1.Sandeep S, Liu P, Cooper Jr L. Myocarditis. Lancet. 2012; 379: 738–747. Ref.: http://bit.ly/2WTHXNx


Figure 1

Figure 1

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