Amazon Travel-Associated Myopericarditis

Adam is 16 year-old male presents with a two-week progression of febrile illness, persistent headaches,

and significant malaise. Over the last 48 hours, he has developed

worsening shortness of breath (dyspnea) and bilateral lower extremity edema (swelling of the

feet). Travel History The patient recently participated in an educational excursion

to the Amazon rainforest in Brazil, returning to his home country approximately one month prior

to the onset of symptoms. Clinical Investigations Diagnostic findings reveal the following:

• Heart Rhythm: Sinus tachycardia. • ECG Findings: Presence of non-specific ST-segment abnormalities.

• Imaging (Echocardiogram/Cardiac MRI): * Dilation of both the left and right ventricles. • Globally depressed