Epstein Barr virus (EBV) and acute myopericarditis in an immunocompetent patient: first demonstrated case and discussion

Intern Med. 2008;47(7):627-9. doi: 10.2169/internalmedicine.47.0691. Epub 2008 Apr 1.


Acute viral infections can lead to heart inflammation, including acute myocarditis. We report the first case of myopericarditis in a young immunocompetent adult, in the context of recent Epstein-Barr virus infection. Clinical presentation was common acute pericarditis, but with risk biomarkers: high troponin I levels and multiple inflammation-compatible images on MRI. Diagnosis of myopericarditis was established, and then hospitalization was necessary. Clinical electrocardiographic settings and MRI are shown; EBV cardiac effects are discussed.

Publication types

  • Case Reports

MeSH terms

  • Adolescent
  • Electrocardiography / methods
  • Epstein-Barr Virus Infections / complications
  • Epstein-Barr Virus Infections / diagnosis*
  • Epstein-Barr Virus Infections / immunology
  • Herpesvirus 4, Human / immunology
  • Humans
  • Immunocompetence / immunology*
  • Male
  • Myocarditis / diagnosis*
  • Myocarditis / etiology
  • Myocarditis / immunology
  • Pericarditis / diagnosis*
  • Pericarditis / etiology
  • Pericarditis / immunology