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Correspondence
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Volume 345:379 August 2, 2001 Number 5
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Fulminant Coxsackieviral Myocarditis

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To the Editor: Enteroviruses are the most common agents of myocarditis and have been implicated in the pathogenesis of dilated cardiomyopathy. There are still discrepancies in our knowledge of the association of enteroviruses and myocardial disease, partially due to a lack of data on detection of viral antigen on viral culture of tissue.1 For the treatment of fulminant myocarditis, aggressive hemodynamic support is warranted because of the excellent long-term prognosis of patients.2

A 16-year-old girl was admitted with anterior chest pain of one day's duration. Two weeks earlier, she had had influenza-like symptoms. The patient had a positive troponin T . . . [Full Text of this Article]

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