Infective and Inflammatory Diseases of the Heart

Question 1

viruses that cause Myocarditis

Answer 1

Enterovirus
Adenovirus
HHV
Human Parvovirus

Question 2

bacteria that cause Myocarditis

Answer 2

Rheumatic Fever (S.Pyogenes) 
Pyogenic Pericarditis (Neissaria 
S.Aureus) 
Myocarditis by toxin (C.Diphtheriae) 
Mycoplasma 
Chlamydia Psittaci 
Coxiella Burnetti

Question 3

Clinical presentation of Myocarditis

Answer 3

a. Asymptomatic rapidly to CF or arrythmias

b. Fever / malaise / URTI symptoms

Question 4

Pericarditis Viral (usually myopericardial) etiology

Answer 4

Coxs A&B 
Echovirus 
Adenocirus 
Measles 
Influenza
 E-Barr 
CMV

Question 5

Pericarditis bacterial etiology

Answer 5

1. Complication of untreated pneumonia usually
   a. S.Pneumoniae / S.Aureus / Meningococcal (purulent) /
   M.Pneumoniae / Legionella
   b. Children : S.Aureus / H.Influenza B
2. MTB (NB) / Listeria Monocytogenes / M.Pneumonia / Legionella /
   Chlamydia / S.Pneumoniae / S.Aureus / Neisseria / H.Influenza

Question 6

Pericarditis fungal aetiology

Answer 6

Candida 
Histoplasma 
Coccidiodes
Aspergillus 
Cryptococcus

Question 7

Clinical presenation of Pericarditis

Answer 7

a. Viral or Idiopathic
1. Retrosternal chest pain ↑w/respiration or swallowing
2. Fever & flu-like symptoms
b. Bacterial
1. Fever/dyspnoea (chest pain & pericardial rub)
c. TB
1. Vague chest pain / weight loss / night sweats / dyspnoea