A 32-Year-Old Woman with Fatigue and Myalgias

Mij

Senior Member (Voting Rights)
The case description for a Case Records of the Massachusetts General Hospital appears below.

A 32-year-old woman presented with fatigue, myalgias, and palpitations. The cardiac rhythm was irregularly irregular, and an electrocardiogram showed findings suggestive of grouped beating. A diagnosis was made. What is the diagnosis?

Cast your vote. Find the answers in the full text of the case, to be published in the August 21/28, 2025, issue of the Journal.

Poll

What is the most likely diagnosis in this case?

Acute rheumatic fever.
Hydroxychloroquine use.
Lyme carditis due to infection with Borrelia burgdorferi.
Multisystem inflammatory syndrome after SARS-CoV-2 infection.
Q fever due to infection with Coxiella burnetii.
Spontaneous coronary-artery dissection.
 
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