Alkan F.Paytoncu Ş.Çetin M.Coşkun Ş.2024-07-222024-07-22201613000381http://akademikarsiv.cbu.edu.tr:4000/handle/123456789/15774Perimyocarditis is an inflammatory syndrome characterized by myocardial and partly pericardial involvement. In developed countries, viral infections are the most common cause. The other reasons are idiopathic, bacterial or rheumatic diseases and immune drugs. The findings are subclinical, varies from chest pain, heart failure to death. Treatment is performed according to reasons. Anti-inflammatory drugs are used for signs and symptoms. Intravenous immunoglobulin is preferred in selected cases. In this article, we present a case with chest pain, electrocardiogram changes and elevated cardiac enzymes, exclusion of acute coronary syndrome with computed tomography coronary angiography, determination of diffuse myocardial involvement with cardiac magnetic resonance imaging and showing dramatic improvement with intravenous immunoglobulin for persistent clinical signs. Copyright © 2016 by Tür ki ye Kli nik le ri.TurkishAll Open Access; Gold Open Accessheart enzymeimmunoglobulinacute coronary syndromeArticlecardiovascular magnetic resonancecase reportcomputer assisted tomographycoronary angiographyelectrocardiogramhumanmyocarditisperimyocarditisperimyocarditisthorax painArticle10.5336/pediatr.2015-48987