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Viral pericarditis — RACP Paediatrics MCQ

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ModerateCardiologyViral pericarditisRACP Paediatrics

A 4-year-old has chest pain, friction rub, diffuse ST elevation, PR depression, and small pericardial effusion after a viral illness. Troponin mildly elevated. What is the diagnosis?

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Correct answer: A — Pericarditis

Friction rub with diffuse ST elevation, PR depression, and effusion post-viral is acute pericarditis. First-line is ibuprofen plus colchicine. Avoid corticosteroids first-line.

Reference: RCH Melbourne – 2023 – Pericarditis CPG