TABLE 1

Selected causes of myocarditis

INFECTIOUS
Viral
Parvovirus B19
Coxsackie B (enterovirus)
Adenovirus
Human herpesviruses
 Cytomegalovirus
 Epstein-Barr virus,
 Human herpes virus 6
Human immunodeficiency virus
Influenza A/B
Poliovirus
Hepatitis C
Bacterial
Borrelia
Rickettsia
Coxiella
Staphylococcus
Streptococcus
Corynebacterium diphtheria
Mycobacterium
Protozoal
Trypanosoma cruzi
Toxoplasma
Babesia
Parasitic
Trichinella spiralis
Taenia solium
Fungal
Aspergillus
Candida
Histoplasma
Mucormycosis
Sporothirix
IMMUNE-MEDIATED
Allergens
Tetanus toxoid
Vaccines (especially smallpox)
Serum sickness
Autoantigens
Infection-negative giant cell
Systemic lupus erythematosus
Rheumatoid arthritis
Sarcoidosis
Alloantigens
Heart transplant rejection
TOXIC
Drugs
Amphetamines
Cocaine
Lithium
Clozapine
Anthracyclines (doxorubicin)
Mesalamine
Sulfonamides (hypersensitivity)
Penicillins (hypersensitivity)
Immune checkpoint inhibitors (ipilimumab, pembrolizumab, nivolumab)
Heavy metals
Iron
Copper
Lead (rare)
Physical agents
Radiation
Hormones
Pheochromocytoma (epinephrine, norepinephrine)
Miscellaneous
Insect bites
Scorpion sting
Inhalants
Arsenic
  • Based on information in references 3, 21, and 22.