RT Book, Section A1 Tsai, William T. A2 Schafermeyer, Robert A2 Tenenbein, Milton A2 Macias, Charles G. A2 Sharieff, Ghazala Q. A2 Yamamoto, Loren G. SR Print(0) ID 1106772974 T1 Inflammatory and Infectious Heart Disease T2 Strange and Schafermeyer's Pediatric Emergency Medicine, 4e YR 2014 FD 2014 PB McGraw-Hill Education PP New York, NY SN 978-0-07-182926-7 LK accesspediatrics.mhmedical.com/content.aspx?aid=1106772974 RD 2024/10/04 AB Pericarditis presents with chest pain in the older child. Pleuritic or positional chest pain, fever, tachycardia, friction rub, and electrocardiographic changes may be noted.Tachycardia and fatigue may be signs of myocarditis. These patients should be admitted to a pediatric intensive care unit for careful monitoring and aggressive supportive management.Obtain echocardiography in patients with suspected myocarditis.The at-risk patient with endocarditis presents with unexplained fever, myalgia, new murmur, and elevated acute-phase reactants.