Oliver Edward Gosling on Muck Rack

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Patient with native valve infective endocarditis and concomitant bacterial myopericarditis

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By Alexander Peter Royston, Oliver Edward Gosling
| bmj.com
A 39-year-old man with known mitral regurgitation (MR) presented with chest pain, nausea and dizziness. Troponin of 5801 ng/L and scooped ST segments indicated myopericarditis. Cardiac MRI demonstrated an epicardial late gadolinium enhancement pattern consistent with a significantly myocarditic syndrome. Initially afebrile, the patient reported fevers a week earlier when abroad where he received amoxicillin.
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