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Neonatal Myocarditis — RACP Paediatrics MCQ

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HardCardiologyNeonatal MyocarditisRACP Paediatrics

A term neonate presents with heart failure at day 10. Echo shows severely impaired biventricular function with structurally normal heart. Troponin is markedly elevated. Mother had febrile illness with rash in third trimester. Most likely cause?

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Correct answer: A — Neonatal myocarditis (enteroviral)

Neonatal myocarditis, most commonly caused by enteroviruses (Coxsackie B), can present with acute heart failure in the neonatal period.

Reference: RCH Melbourne – 2024 – Clinical Practice Guidelines: Myocarditis