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
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Diseases presenting "abnormal ekg in adult population is considered sine qua non to acute coronary syndrome" symptom

acute rheumatic fever

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