A Case of Mediastinal Adenopathy and Clinically Suspected Myocarditis

A 29-year-old man originally from an Eastern European country with a high TB incidence had resided in Western Europe for 6 years. He worked in air conditioning repair and currently smoked. He presented to the emergency department with a 10-day history of chest pain, dry cough, and fever. He had no significant medical history, recent travel, animal contact, or insect bites. He denied IV drug use and risk factors for sexually transmitted infections. On admission, his vital signs were stable except for a low-grade fever of 38.5 °C, with no respiratory distress or audible wheezing noted. He was discharged with a diagnosis of a common cold.