Here is the follow-up to the story of our 19 year old febrile patient…..
The case continues…
His CXR demonstrates the following ….
- Clear lung fields
- No pneumonia
- No CCF
This is his ECG…
Sinus tachycardia. Non-specific T-wave changes, but no ST-segment changes.
My thoughts at this stage were;
- 19 year olds should be able to stand on their own
- Constitutional symptoms… ?viral illness
- I cannot exclude concomitant sepsis –> so treated with empiric ABx / fluids
- Globular heart silhouette
** Is this myocarditis ?? **