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Myrcarditus
Myrocarditus is an inflammatory condition of the heart. It's important for us in the e d because a small but significant subset of patients develop disrhythmas, heart failure, carteogenic shock and sometimes very rapidly. Once you've ruled out hemorragic shock, which you have to think about very carefully from the way you describe it, cepsis is certainly less likely,. You really want to get them to a location in the hospital where you can treat the most challenging complications.