Acute Myopericarditis After Multiple Vaccinations in an Adolescent: Case Report and Review of the Literature
Overview
Affiliations
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.
Recurrence of pericarditis after influenza vaccination: a case report and review of the literature.
Mei R, Raschi E, Poluzzi E, Diemberger I, De Ponti F BMC Pharmacol Toxicol. 2018; 19(1):20.
PMID: 29728118 PMC: 5935955. DOI: 10.1186/s40360-018-0211-8.
Meningococcal arthritis and myopericarditis: a case report.
Steele L, Bechman K, de Barra E, Mackworth-Young C BMC Infect Dis. 2017; 17(1):751.
PMID: 29207945 PMC: 5718011. DOI: 10.1186/s12879-017-2845-3.
Kharbanda E, Vazquez-Benitez G, Lipkind H, Klein N, Cheetham T, Naleway A Vaccine. 2016; 34(7):968-73.
PMID: 26765288 PMC: 6506839. DOI: 10.1016/j.vaccine.2015.12.046.
Myocarditis with hypotonic-hyporesponsive episode after multiple vaccination.
Ece I, Uner A, Balli S, Kibar A Indian J Pediatr. 2013; 81(4):410-2.
PMID: 24347337 DOI: 10.1007/s12098-013-1291-5.
Myopericarditis in children: elevated troponin I level does not predict outcome.
Kobayashi D, Aggarwal S, Kheiwa A, Shah N Pediatr Cardiol. 2012; 33(7):1040-5.
PMID: 22322566 DOI: 10.1007/s00246-012-0222-y.