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(Chest. 1973;63:102-105.)
© 1973 American College of Chest Physicians

Focal Mononucleosis Myocarditis Simulating Myocardial Infarction

Richard Miller M.D.1; Cameron Ward M.D.1; Ezra Amsterdam M.D.1; Dean T. Mason M.D., F.C.C.P.1; and Robert Zelis M.D., F.C.C.P.1

1 Laboratory of Clinical Physiology, Section of Cardiovascular Medicine, Department of Medicine, University of California at Davis School of Medicine; the Sacramento Medical Center, Sacramento, and Woodland Memorial Hospital, Woodland, California

A 17-year-old boy with documented infectious mononucleosis presented with the clinical, electrocardiographic and enzymatic picture compatible with acute myocardial infarction. He was found to have completely normal findings at cardiac catheterization, including exercise study and coronary arteriography. The diagnosis of focal mononucleosis myocarditis was considered to be the most likely explanation for his unusual clinical course.






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