Erkenntnis
- Mpox disease (formerly known as monkeypox) may be associated with acute myocarditis in some patients and should prompt further investigation.
- Since the number of patient numbers/reports was small, more research is needed.
Why this matters
- It is important to include Mpox in differential diagnosis of myocarditis, especially in patients at risk (e.g.men who have sex with several male partners) who present with chest pain.
Key results
- 3 adult men presenting with PCR-confirmed mpox lesions developed 2–5 Days after the onset of symptomatic Mpox, acute chest pain, palpitations and fever.
- Abnormalities on ECG and transthoracic echocardiography, usually associated with myocarditis, were reported in 2 patients identified, and a cardiac _- MRI showed at 1 Patients with segmental myocarditis. For all 3 Patients have been observed with elevated cardiac markers and biological inflammatory syndrome.
- Differential diagnosis for sexually transmitted infections and other etiologies was negative.
- All 3 Patients received cardioprotective treatment, with 1 also receiving tecovirimate.
- Chest pain and abnormal laboratory values subsided in all cases and a favorable result was achieved.No further coronary examinations were performed.
Study design
- Descriptive case series of mpox-induced myocarditis in 3 monkeypox-infected patients in France
Restrictions
- Small number of cases
- Inability to assess the risk of progression to chest pain in the context of mpox-related myocarditis
This full text is unfortunately reserved for medical professionals
You have reached the maximum number of articles for unregistered visitors
Source — https://www.univadis.de/viewarticle/auch-bei-mpox-myokarditis-moglich
Comments are closed.