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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