RT Book, Section A1 DePiero, Andrew D. A2 Tenenbein, Milton A2 Macias, Charles G. A2 Sharieff, Ghazala Q. A2 Yamamoto, Loren G. A2 Schafermeyer, Robert SR Print(0) ID 1155297216 T1 Inflammatory and Infectious Heart Disease T2 Strange and Schafermeyer's Pediatric Emergency Medicine, 5e YR 2019 FD 2019 PB McGraw-Hill Education PP New York, NY SN 9781259860751 LK accessemergencymedicine.mhmedical.com/content.aspx?aid=1155297216 RD 2024/09/10 AB Older children with pericarditis most often present with chest pain in combination with other symptoms. Fever, tachycardia, friction rub, and electrocardiographic changes may be noted.Tachycardia and fatigue may be signs of myocarditis. Acutely ill 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.