Severe Chest Pain Caused by Mycoplasma Myocarditis in an Adolescent Patient

Abstract

Intermittent chest pain is a common symptom in adolescent patients, which can be attributed to musculoskeletal disorders in the majority of cases. While most patients have a benign course of their pain episodes, the differential diagnosis includes diseases which are associated with serious and even life-threatening complications. Therefore, careful examination and systematic diagnostic evaluation is important. We report on an adolescent, who presented with severe chest pain and distinct electrocardiographic findings caused by Mycoplasma pneumoniae myocarditis.

Zusammenfassung

Unspezifische, leichte Brustschmerzen sind ein häufiges Symptom jugendlicher Patienten in der allgemeinpädiatrischen Praxis, welches sich meist auf muskuloskelettale Ursachen zurückführen lässt. Hiervon müssen jedoch schwere, potenziell lebensbedrohliche Erkrankungen abgegrenzt werden. Zur Abklärung der Brustschmerzen ist eine systematische kardiale Diagnostik erforderlich. Wir berichten über einen vormals gesunden Jugendlichen mit heftigen linksthorakalen Schmerzen und pathologischen EKG-Veränderungen im Rahmen einer Mykoplasmen-Myokarditis.

Key words

chest pain - myocarditis - Mycoplasma pneumoniae - diagnostic evaluation - electrocardiogram

Schlüsselwörter

Brustschmerzen - Myokarditis - Mycoplasma pneumoniae - Differenzialdiagnostik - Elektrokardiogramm

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