# Commission Implementing Decision of 8 August 2012 amending Decision 2002/253/EC laying down case definitions for reporting communicable diseases to the Community network under Decision No 2119/98/EC of the European Parliament and of the Council (notified under document C(2012) 5538) (Text with EEA relevance) (2012/506/EU), Division: CVS-CARD: Myocarditis or pericarditis

Extent: E+W+S+N.I.

Myocarditis or pericarditis must meet at least one of the following criteria:
Patient has organisms cultured from pericardial tissue or fluid obtained by needle aspiration or during a surgical operation
Patient has at least two of the following signs or symptoms with no other recognised cause: fever (> 38 °C), chest pain, paradoxical pulse, or increased heart size
AND at least one of the following:
abnormal EKG consistent with myocarditis or pericarditis
positive antigen test on blood (e.g. Haemophilus influenzae, Streptococcus pneumoniae)
evidence of myocarditis or pericarditis on histologic examination of heart tissue
four-fold rise in type-specific antibody with or without isolation of virus from pharynx or faeces
pericardial effusion identified by echocardiogram, CT scan, MRI, or angiography

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Source: https://www.legislation.gov.uk/eudn/2012/506/annex/division/3/division/3.1/division/3.1.5/division/3 (the official version)
Page: https://openlegislation.uk/eu-decision-2012-506/annex/division-3/division-3.1/division-3.1.5/division-3
Contains public sector information licensed under the Open Government Licence v3.0. Source: legislation.gov.uk, The National Archives.