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Case Reports in Critical Care
Volume 2014, Article ID 176520, 3 pages
http://dx.doi.org/10.1155/2014/176520
Case Report

Chest Pain in Adolescent Japanese Male Mimicking Acute Coronary Syndrome

1Department of Pediatrics, John H. Stroger, Jr. Hospital of Cook County, Chicago, IL 60612, USA
2Department of Pediatric Cardiology, John H. Stroger, Jr. Hospital of Cook County, Chicago, IL 60612, USA

Received 31 May 2014; Accepted 17 July 2014; Published 18 August 2014

Academic Editor: Kurt Lenz

Copyright © 2014 Sachin K. Gupta and Zahra Naheed. This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

Abstract

Acute chest pain with very elevated troponin level and abnormal EKG in adult population is considered sine qua non to acute coronary syndrome (ACS) unless proved otherwise. Similar presentation in adolescent population is seen less often but raises suspicion for ACS. Most common etiology for chest pain with cardiac enzyme elevation in adolescent population is usually viral myopericarditis. The adolescent population presenting with chest pain and elevated cardiac enzymes should be carefully evaluated for ACS and other etiologies including myocarditis, myopericarditis, pulmonary embolism, acute rheumatic fever, and trauma. We report one Japanese adolescent male with mycoplasma pneumoniae myocarditis who presented to the ER with chest pain, elevated cardiac enzymes, and abnormal EKG.