American Journal of Medical Case Reports
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American Journal of Medical Case Reports. 2020, 8(12), 532-534
DOI: 10.12691/ajmcr-8-12-27
Open AccessCase Report

Epstein-Barr Virus Associated Myopericarditis Presenting as Generalized Anxiety

William Butler1, , Bryan Pacheco1, Koleton Forehand2, Paul Gursky1 and Melodie Mope3

1Department of Family Medicine, Florida State University College of Medicine, Orlando, FL USA

2Department of Family Medicine & Rural Health, Florida State University College of Medicine, Tallahassee, FL USA

3Orlando Health Physician Associates, Orlando, FL USA

Pub. Date: September 28, 2020

Cite this paper:
William Butler, Bryan Pacheco, Koleton Forehand, Paul Gursky and Melodie Mope. Epstein-Barr Virus Associated Myopericarditis Presenting as Generalized Anxiety. American Journal of Medical Case Reports. 2020; 8(12):532-534. doi: 10.12691/ajmcr-8-12-27


Background: This case highlights the importance of motivational interviewing in a rare condition with comorbid psychiatric symptomology. Epstein-Barr Virus (EBV) induced myopericarditis has not been described in a healthy young woman. Her anxiety symptoms complicated the diagnosis of this condition. Case presentation: Ms. A is an otherwise healthy 26-year-old female with a history of generalized anxiety disorder. She presented to the emergency department with anxiety and a sense of impending doom. Her family history is positive for hypertension and unspecified mental health issues. She refused workup due to panic symptoms but was persuaded through motivational interviewing. Eventual cardiac MRI revealed viral induced myopericarditis. The outcome was both resolution of her cardiovascular and psychiatric symptomology. Conclusion: The implications of this case report is the value of addressing psychological resistance to pathophysiological workup. Once her concerns were addressed through psychological and psychopharmacological methods, a rare cardiovascular disorder was identified and treated. The lesson for healthcare providers is that nonjudgmental interviewing can lead to the diagnosis of very uncommon diseases.

EBV pericarditis stigma anxiety motivational interviewing

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