PEDIATRICS Vol. 119 No. 6 June 2007, pp. e1400-e1403 (doi:10.1542/10.1542/peds.2006-2605)
EXPERIENCE & REASON |
Acute Myopericarditis After Multiple Vaccinations in an Adolescent: Case Report and Review of the Literature
a Department of Pediatric Cardiology, Mount Sinai Medical Center, New York, New York
b Division of Pediatric Cardiology, Maimonides Medical Center, New York, New York
ABSTRACT
We report a case of postvaccination acute myopericarditis in an adolescent. The patient presented with acute chest pain, diffuse ST-segment elevation, and elevated cardiac enzyme levels. Cardiac MRI was consistent with acute myocarditis. He recovered within a few days with nonsteroidal antiinflammatory treatment and remains clinically stable, with improvement of MRI findings at the 10-week follow-up. Postvaccination cases of myopericarditis reported in the pediatric literature are also reviewed.
Key Words: immunization myopericarditis adolescence
Abbreviations: ECG, electrocardiogram DTaP, diphtheria-tetanus-acellular pertussis Ig, immunoglobulin
Accepted Nov 28, 2006.
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