Does pediatric myocarditis cause high fever?

Written by Quan Xiang Mei
Pediatrics
Updated on December 29, 2024
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Myocarditis in children is usually caused by fever, or subsequent to some viral infectious diseases. That is to say, myocarditis can accompany symptoms of fever, but it is generally due to fever, which in turn is caused by some viral infectious diseases that lead to myocarditis. Therefore, if a child with myocarditis also has fever, it indicates the presence of an infectious disease or viral infection. In such cases, in addition to treating the primary fever-inducing illness, attention must also be given to the treatment of the myocardium with nutritional medications. If a child has myocarditis, it is crucial to ensure plenty of rest, avoid strenuous activities, and prevent the disease from becoming protracted and unresolved, which could affect the clinical outcomes. (Medication should be administered under the guidance of a doctor.)

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Written by Zhou Yan
Geriatrics
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How is myocarditis detected?

The diagnosis of myocarditis includes several aspects: The electrocardiogram may show STT changes, or various arrhythmias. Chest radiography may reveal an enlarged cardiac silhouette, while an echocardiogram may be normal or show left ventricular enlargement. Magnetic resonance imaging may show myocardial edema or congestion. Biochemical examinations may reveal elevated levels of troponin and myocardial enzymes, as well as increased erythrocyte sedimentation rate and C-reactive protein. Additional diagnostic methods include etiological examinations, which can identify viral infections through blood or stool samples. Furthermore, endocarditis or myocardial biopsy can provide definitive diagnosis.

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Written by Zhou Yan
Geriatrics
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Can myocarditis heal itself?

Myocarditis is an inflammatory disease of the myocardium. Common causes include viral infections, while bacterial and fungal infections can also cause myocarditis, but these are relatively less common. The onset of myocarditis can vary; it may be rapid, occasionally leading to acute heart failure and sudden cardiac death. However, most cases of myocarditis are self-limiting, though they can also progress to dilated cardiomyopathy. For individuals presenting with flu-like symptoms such as fever, general fatigue, muscle soreness, nausea, and vomiting, or other gastrointestinal issues, it is advisable to provide rest and nutritional support treatment. This is because these cold symptoms might also be indicative of myocarditis. Therefore, general treatment, rest, and nutrition should be emphasized for patients with colds.

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Written by Zhang Yue Mei
Cardiology
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Can you exercise with myocarditis?

Patients with myocarditis should avoid exercising. Myocarditis is caused by acute or chronic damage to the myocardium due to viral infections. After contracting myocarditis, patients may experience palpitations and shortness of breath; severe cases can lead to heart failure, arrhythmias, and cardiogenic shock. For myocarditis, early diagnosis and treatment are crucial for recovery. Patients with myocarditis must rest in bed, minimize physical activity, consume easily digestible foods, and eat a variety of vitamins and minerals through vegetables and fruits to maintain regular bowel movements. Effective antiviral drugs and treatments that nourish the myocardium should be used to help the damaged myocardium recover as soon as possible.

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Written by Zhang Yue Mei
Cardiology
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the recurrence rate of myocarditis

The most common type of myocarditis clinically seen is viral myocarditis, which is a localized or diffuse cardiac injury resulting from viral infections. Mild myocardial damage, when treated effectively under the guidance of a doctor, typically does not recur after recovery. Recurrence referred to involves serious myocardial damage, or lack of systematic treatment, leading to complications such as heart failure and arrhythmias. These complications often exacerbate under certain triggering factors like infections, colds, excessive fatigue, emotional excitement, overeating, constipation, etc., increasing the cardiac load and causing the recurrence of heart failure and arrhythmias.

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Written by Zhang Yue Mei
Cardiology
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Does myocarditis require hospitalization?

Myocarditis is an infectious disease caused by viral infection leading to myocardial damage. Particularly extensive myocardial damage can pose significant risks to life and cause serious complications. Common complications include heart failure and arrhythmias, with severe cases possibly leading to sudden death. Therefore, patients with myocarditis must be hospitalized for treatment. Under the observation of doctors and nurses, effective rest can be ensured, and treatments such as antiviral and myocardial nutrition can be applied to prevent the occurrence of complications.