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In contrast, levels of inflammatory cytokines (interleukin-1 (IL-1), IL-1RA, and IL-15) and chemokines (C-C motif chemokine ligand 4 (CCL4), C-X-C motif chemokine ligand 1 (CXCL1), and CXCL10) were significantly elevated in the serum of patients 8 , suggesting that excessive inflammation may cause myocarditis as a cytokinopathy