Myocarditis differential diagnosis of underlying causes

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Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]

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Differential Diagnosis of Underlying Causes

A large number of different causes have been identified as leading to myocarditis:

Infectious

• Viral

• Enterovirus
• Coxsackie virus
• Rubella virus
• Polio virus
• Cytomegalovirus
• Adenoviruses
• Arboviruses
• Coxsackie virus A
• Coxsackie virus B1-B5
• CMV
• Echovirus
• Epstein-Barr virus
• Flavivirus
• Hepatitis virus

  • Hepatitis C

• HIV
• Influenza
• Measles virus
• Mumps virus
• Polio virus
• Rabies virus
• Varicella Zoster Virus

• Bacterial

• Actinomyces
• Tropheryma whipplei
• Vibrio cholerae
• Beta hemolytic Streptococci
• Brucella
• Corynebacterium diphtheriae
• Enterococci
• Gonococcus
• Legionella
• Meningococci
• Pertussis
• Psittacosis
• Rickettsia
• Salmonella
• T. Pallidum
• Staphylococci
• Clostridium Tetani
• Tuberculosis
• Tularemia
• Spirochetal

  • Borrelia burgdorferi
  • Leptospirosis

• Protozoal

• Toxoplasma gondii
• Trypanosoma cruzi

• Fungal

• Aspergillus

• Parasitic

• Ascaris
• Echinococcus granulosus
• Paragonimus westermani
• Schistosoma
• Taenia solium
• Trichinella spiralis
• Visceral larva migrans
• Wuchereria bancrofti

Immunological

• Allergic

• Acetazolamide
• Amitriptyline

• Rejection after a heart transplant
• Autoantigens

• systemic vasculitis
• Churg-Strauss syndrome
• Wegener's granulomatosis

Toxic

• Drugs

• Anthracyclines
• Chemotherapy
• Ethanol
• Antipsychotics

  • Clozapine

• Remicade

• Toxins

• Arsenic
• Carbon monoxide
• Snake venom

• Heavy metals

• Copper
• Iron

Physical agents

• Electric shock
• Hyperpyrexia
• Radiation

Bacterial myocarditis is rare in patients without immunodeficiency.