A pediatric colleague of mine just told me about an Audio Digest in which a study of young people (teens or children?) who had died in auto accidents were autopsied. Apparently, up to 15% had evidence of past myocardial scarring?
The theory proposed was that many of the viral infections that cause myalgias in children may also cause a bit of myocarditis. And that this occurs on a continuum between myalgias to inflammation to hypertrophic cardiomyopathy…
They recommend no sports for a few days after a febrile illness in children….
Has anyone else heard this, or did I get my facts mixed up, or ???
Since I don't do EKGs or troponins on children with myalgias and fever, I don't know how often this happens in my practice. If this is accurate, I am curious about any implications of this in emergency medicine....
Bruce Nayowith MD
For more information, send mail to [log in to unmask] with the message: info PED-EM-L
The URL for the PED-EM-L Web Page is: