Korean Circ J.  1995 Feb;25(1):110-113. 10.4070/kcj.1995.25.1.110.

A Case of Infectious Mononucleosis Complicated by Myopericarditis

• Yoo NJ
• Park JC
• Oh KA
• Kim JH
• Yang SH
• Lee SH
• Jeong JW
• Park YK
• Park OK

• KMID: 2228965
• DOI: http://doi.org/10.4070/kcj.1995.25.1.110

Abstract

Myopericarditis is an uncommon manifestation, but can be reaely a lethal complication of infectious mononucleosis. We experienced a case of infectious mononucleosis complicated by myopericarditis in which the clinical pictur was confused as acute myocarddial infarction. A 25-year-old male who presented with syncope and chest pain. The diagnosis of infectious mononucleosis was comfirmed by both a positive heterophil antibody test and a high titer of Epstein-Barr virus antibody. He was found to have completely normal findings at cardiac catheterization, including coronary arteriography. Pathologic specimen from right ventricular endomyocardial biopsy demonstrated extensive lymphocytic and eosinophilic infiltration of the myocardium.

Keyword

Myopericarditis; Infectious mononucleosis

MeSH Terms

Adult
Angiography
Biopsy
Cardiac Catheterization
Cardiac Catheters
Chest Pain
Diagnosis
Eosinophils
Herpesvirus 4, Human
Humans
Infarction
Infectious Mononucleosis*
Male
Myocardium
Syncope