myocardium". It is caused by an infection or toxins or autoimmunity or other causes. It is present in all age groups, but more frequent in children of

the first years of life with predominance of boys. From data of autopsy, nonrheumatic carditis are found in 3–9% of children, who died from

unknown causes. Its manifestations are age dependent. In early infancy– viral myocarditis often occurs as a acute, fulminant disease. In toddlers,

young children – it occurs as an acute myopericarditis. In older children, adolescents it is often asymptomatic and comes to clinical attention

primarily as a precursor to DCM. Here I present a case of a young boy who presented with dyspnoea of few years duration. He was found to have

dilated cardiomyopathy secondary to chronic CMV infection. He responded to treatment.