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Case Records of the Massachusetts General HospitalFree Preview

Case 17-2022: A 17-Year-Old Boy with Chest Pain

List of authors.
  • Puneeta Arya, M.D.,
  • Sjirk J. Westra, M.D.,
  • Oscar J. Benavidez, M.D.,
  • Marc D. Natter, M.D.,
  • and Mandakolathur R. Murali, M.D.

A 17-year-old boy was admitted to the pediatric ICU with chest pain, syncope, electrocardiographic abnormalities, and elevated creatine kinase and troponin T. He had been well until 5 days earlier, when fever, nausea, diarrhea, muscle aches, and chest pain developed.

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Funding and Disclosures

This case was presented at Pediatric Grand Rounds.

Disclosure forms provided by the authors are available with the full text of this article at NEJM.org.

We thank Drs. Michelle L. Dyke, Josephine M. Lok, John H. Stone, and Mark E. Lindsay for assistance with preparation for the conference.

Author Affiliations

From the Departments of Pediatrics (P.A., O.J.B., M.D.N.), Radiology (S.J.W.), Pathology (M.R.M.), and Medicine (M.R.M.), Massachusetts General Hospital, and the Departments of Pediatrics (P.A., O.J.B., M.D.N.), Radiology (S.J.W.), and Medicine (M.R.M.), Harvard Medical School — both in Boston.

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