Exam questionKROK 2Medicine · 2025
A 25-year-old woman complains of shortness of breath during physical exertion, fever of 37.8°C, dull pain in the area of her heart, and palpitations. According to the patient's medical history, 2 weeks ago she had a case of an acute respiratory viral infection. Objectively, the skin is pale, pulse 95/min, blood pressure 100/60 mm Hg. Auscultation detects vesicular respiration, respiratory rate 22/min. The heart sounds are rhythmic, the first heart sound is weakened at the apex, a systolic murmur can be heard. ECG shows reduced voltage and negative T wave. Laboratory tests detect elevated levels of AST, LDH, and CPK. What is the most likely diagnosis in this case?
Answer options
- Exudative pleurisy
- Acute myocardial infarction
- Viral myocarditis
- Acute pericarditis
- Infective endocarditis
Correct answer
Viral myocarditis
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