Acute myopericarditis after diphtheria, tetanus, and polio vaccination

Chest. 2001 Aug;120(2):671-2. doi: 10.1378/chest.120.2.671.

Abstract

We report the first case of myopericarditis after triple vaccination against diphtheria, tetanus, and poliovirus in a young adult. He presented with fever, acute chest pain, and diffuse ST-segment elevation 2 days after vaccination. Two-dimensional echocardiography findings were normal. Endomyocardial biopsy showed interstitial edema with diapedesis of erythrocytes. Laboratory findings showed inflammatory syndrome and elevated circulating immune complexes. He recovered within a few days with high-dose aspirin treatment and was without complications at 3-month follow-up. We discuss the different hypotheses for infective or hypersensitivity myocarditis.

Publication types

  • Case Reports

MeSH terms

  • Acute Disease
  • Adult
  • Diphtheria-Tetanus Vaccine / administration & dosage*
  • Diphtheria-Tetanus Vaccine / adverse effects*
  • Humans
  • Hypersensitivity / diagnosis
  • Hypersensitivity / etiology*
  • Male
  • Myocarditis / diagnosis
  • Myocarditis / etiology*
  • Pericarditis / diagnosis
  • Pericarditis / etiology*
  • Poliovirus Vaccines / administration & dosage*
  • Poliovirus Vaccines / adverse effects*
  • Vaccination

Substances

  • Diphtheria-Tetanus Vaccine
  • Poliovirus Vaccines