At such a young age, less than 1% of patients have multiple etiologies, according to the case authors.
The case was studied by the family medicine team at Manatee Medical Center (MMC).
a Sharp chest pain It was symptomatic of multiple clinical scenarios, including high probability cancer, reported in less than 1% in the scientific literature.
This was confirmed by one of the authors of the clinical case of a 23-year-old young man, who Dr. Axel Santiago Carlo, part of a family medicine residency at Manatee Medical Center (MMC), who reported Medicine and Public Health (MSP) that this patient had no significant clinical history – including family medical history – and arrived at emergency rooms due to severe pain, shortness of breath Vomiting, nausea, chills, sweating, among other symptoms, which develop gradually.
Levels of troponin – a type of protein found in heart muscles – were elevated.
Similarly, levels of markers associated with cardiac insult were high.
The electrocardiogram revealed ST-section elevation, which indicated some signs of acute myocardial infarction due to acute coronary artery blockage, he said.
It was precisely because of this finding, he noted, that the medical team initially thought it was a heart attack with the patient’s pericarditis, swelling and irritation of the soft sac-like tissue that surrounds the heart (the pericardium). It often causes sharp chest pain and sometimes other symptoms.
Among the studies performed on this patient were CT scans of the abdomen and pelvis, MRI, and echocardiography, among others.
“Among the etiology of this patient, Coxsackie virus type B – also called mouth, hand and foot disease – was found and on computed tomography of the abdomen came out with reactive lymph nodes and a mass in the colon. Colonoscopy is performed with biopsy and it is positive for CMV cells. – Recurrent infection with the herpes virus – reactive. In addition, tumor markers are associated cancer Either lymphoma or cancer of lung associated with pericarditis,” he explained.
“The pericarditis was treated, and when the patient’s symptoms improved, he went home with a follow-up appointment in the Department of Oncology, Family Medicine and Psychology. This case was interesting for family physicians because, in addition to the treatment to diagnose them, it is about providing long-term, multidisciplinary treatment,” he said. .
“The fact that this young man also developed multiple etiologies made the case more interesting because acute pericarditis is not very common in the hospital. Approximately 5% of patients who go to the hospital have pericarditis, stressing that specialist help was recommended,” he added. In the human behavior of this patient because of all the diagnoses he was exposed to at such a young age.
He added that the medical team suspected that acute pericarditis arose as a complement to the disease of pericarditis cancer That this patient.
The Dr. Axel Santiago Carlo, part of the Family Medicine Residency at Manatee Medical Center (MMC).
This patient may have been with him for years cancer And caused pericarditis and multiple causes. The literature says that it is not uncommon to see multiple etiologies of CMV, Coxsackie and cancer. He concluded that this was reported in less than 1%.”