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Chest pain in adolescent Japanese male mimicking acute coronary syndrome.
[acute rheumatic fever]
Acute
chest
pain
with
very
elevated
troponin
level
and
abnormal
EKG
in
adult
population
is
considered
sine
qua
non
to
acute
coronary
syndrome
(
ACS
)
unless
proved
otherwise
.
Similar
presentation
in
adolescent
population
is
seen
less
often
but
raises
suspicion
for
ACS
.
Most
common
etiology
for
chest
pain
with
cardiac
enzyme
elevation
in
adolescent
population
is
usually
viral
myopericarditis
.
The
adolescent
population
presenting
with
chest
pain
and
elevated
cardiac
enzymes
should
be
carefully
evaluated
for
ACS
and
other
etiologies
including
myocarditis
,
myopericarditis
,
pulmonary
embolism
,
acute
rheumatic
fever
,
and
trauma
.
We
report
one
Japanese
adolescent
male
with
mycoplasma
pneumoniae
myocarditis
who
presented
to
the
ER
with
chest
pain
,
elevated
cardiac
enzymes
,
and
abnormal
EKG
.
Diseases
Validation
Diseases presenting
"cardiac enzyme elevation in adolescent population"
symptom
acute rheumatic fever
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