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NBME 20 Answers

nbme20/Block 2/Question#29

A 25-year-old woman has a flu-like illness (fever, ...

Picornavirus

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submitted by hayayah(603),

Most important cause of viral myocarditis is Coxsackie (picornavirus).





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submitted by luke.10(2),

picorna( coxsackie ) is more common than adenovirus but both can caause viral myocarditis

dulxy071  Yeah Adeno is what I went for unfortunately +  
divya  thank god for sketchy.. +2  




What makes this coxsackie virus over Adenovirus? Both cause myocarditis which would be seen on autopsy? Is it just more common to get coxsackie?

drdoom  the general consensus appears to be that Coxsackie is more common than Adenovirus, but i haven’t come across any papers or textbooks that would agree (they only mention “Coxsackie” and “Adenovirus” as associations with myocarditis) +1  
bharatpillai  there specifically is a question on uworld in which a young woman gets viral myocarditis with sore throat and the answer to that is adenovirus. i think thats why many people (including me) got it wrong :( +