Journal
ECHO RESEARCH AND PRACTICE
Volume 5, Issue 1, Pages K1-K5Publisher
BIOSCIENTIFICA LTD
DOI: 10.1530/ERP-17-0044
Keywords
magnetic resonance imaging; echocardiography; mesalazine; myopericarditis; myocarditis
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A 25-year-old male with a background of ulcerative colitis presented with a two-week history of central chest pain. His ECG on presentation showed global T wave inversion with a peak troponin I of 165 ng/mL. Clinical diagnosis of myopericarditis/myocarditis was made. Echocardiography and cardiac magnetic resonance (MR) confirmed the diagnosis. On detailed assessment of his medication history, mesalazine was suspected as an etiological factor, with discontinuation resulting in an improvement in symptoms, inflammatory markers and cardiac enzymes. This is a unique case of mesalazine-induced myopericarditis on a background of inflammatory bowel disease.
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