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Case ReportPractice

Myocarditis as the initial presentation of Epstein-Barr virus infection in a 17-year-old male patient

Olga Ace and Sharon Domb
Canadian Family Physician December 2019, 65 (12) 897-899;
Olga Ace
Family medicine resident in the Department of Family and Community Medicine at the University of Toronto in Ontario.
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Sharon Domb
Associate Professor in the Department of Family and Community Medicine in the Faculty of Medicine at the University of Toronto and a staff physician in the Department of Family and Community Medicine at Sunnybrook Health Sciences Centre.
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  • For correspondence: Sharon.Domb@sunnybrook.ca
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    Figure 1.

    Patient’s electrocardiogram on initial presentation to the pediatric emergency department showing normal sinus rhythm and the rSR’ pattern in lead V1, suggesting right ventricular conduction delay and early repolarization

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    Table 1.

    Patient’s selected laboratory investigation results, at presentation to the pediatric ED and in clinic follow-up 7 d later

    LABORATORY INVESTIGATIONPEDIATRIC ED VISITCLINIC FOLLOW-UP 7 D LATER*
    Troponin I14 762 ng/L (normal < 30.9 ng/L)NA
    Troponin TNA14 ng/L (normal < 15 ng/L)
    Creatine kinase747 U/L (normal 55–370 U/L)105 U/L (normal < 247 U/L)
    Alanine aminotransferase61 U/L (normal < 42 U/L)94 U/L (normal < 40 U/L)
    Aspartate aminotransferase94 U/L (normal < 41 U/L)48 U/L (normal < 37 U/L)
    • ED—emergency department, NA—not applicable.

    • ↵* Different institution and laboratory.

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Canadian Family Physician: 65 (12)
Canadian Family Physician
Vol. 65, Issue 12
1 Dec 2019
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Myocarditis as the initial presentation of Epstein-Barr virus infection in a 17-year-old male patient
Olga Ace, Sharon Domb
Canadian Family Physician Dec 2019, 65 (12) 897-899;

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Myocarditis as the initial presentation of Epstein-Barr virus infection in a 17-year-old male patient
Olga Ace, Sharon Domb
Canadian Family Physician Dec 2019, 65 (12) 897-899;
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