MCQ – 89236

Question

A 4-year old male child develops fast breathing and poor feeding since 1 day which was preceded by a self-limiting URTI a few days prior. O/E, the child is tachycardic, tachypneic, and hypoxic. Auscultation revealed bilateral basal crept and gallop rhythm. Chest x-ray reveals cardiomegaly and bilateral basal opacities. ECHO shows grossly dilated cardiac chambers with global hypokinesia. What are the most likely diagnosis and their causative agent:

A. Tuberculous pericarditis ; mycobacterium tuberculosis

B.

Viral myocarditis; Coxsackie B virus

C.

Viral myocarditis; EBV

D.

Pancarditis;group a streptococcus

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