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Myocarditis and pericarditis in children
Authors:Durani Yamini  Giordano Katie  Goudie Brett W
Affiliation:aDepartment of Pediatrics, Thomas Jefferson University, 1025 Walnut Street, Jefferson Medical College, Philadelphia, PA 19107, USA;bDivision of Emergency Medicine, Alfred I. duPont Hospital for Children, 1600 Rockland Road, Wilmington, DE 19899, USA;cDivision of Cardiology, Department of Pediatrics, The Nemours Cardiac Center, Alfred I. duPont Hospital for Children, 1600 Rockland Road, Wilmington, DE 19899, USA
Abstract:Myocarditis and pericarditis are rare but important causes of pediatric chest pain. The diagnostic criteria, clinical course, causes, and treatment of myocarditis is reviewed. There is particular attention to the relationship of myocarditis with dilated cardiomyopathy. Supportive therapy remains the standard of care for pump dysfunction. The identification and treatment of pericarditis with associated large pericardial effusion can be lifesaving. This article reviews the important clinical features that might lead the clinician to diagnose either myocarditis or pericarditis and thus separate the few patients with either of these conditions from the legions of children with noncardiac chest pain.
Keywords:Myocarditis   Pericarditis   Pediatric
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