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Non-rheumatic Streptococcal Myocarditis Mimicking Acute Myocardial Infarction in an Adolescent Male

Overview
Journal Cardiol Young
Publisher Cambridge University Press
Specialties Cardiology & Vascular Diseases
Pediatrics
Date 2018 Jan 8
PMID 29306334
Citations 3
Authors
Caitlin E OBrien
John D Coulson
Priya Sekar
Jon R Resar
Kristen Nelson McMillan
Affiliations
Soon will be listed here.
Abstract

An adolescent male with a recent history of streptococcal pharyngitis presented with severe substernal chest pain, troponin leak, and ST-segment elevation, which are suggestive of acute inferolateral myocardial infarction. The coronary angiogram was normal. The patient was subsequently diagnosed with non-rheumatic streptococcal myocarditis. He was treated with amoxicillin and had excellent recovery. Non-rheumatic streptococcal myocarditis is an important mimic of acute myocardial infarction in young adults.

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References
1.
Dec Jr G, Waldman H, Southern J, Fallon J, Hutter Jr A, Palacios I . Viral myocarditis mimicking acute myocardial infarction. J Am Coll Cardiol. 1992; 20(1):85-9. DOI: 10.1016/0735-1097(92)90141-9. View
2.
Khavandi A, Whitaker J, Elkington A, Probert J, Walker P . Acute streptococcal myopericarditis mimicking myocardial infarction. Am J Emerg Med. 2008; 26(5):638.e1-2. DOI: 10.1016/j.ajem.2007.10.030. View
3.
GORE I, SAPHIR O . Myocarditis associated with acute nasopharyngitis and acute tonsillitis. Am Heart J. 2010; 34(6):831-51. DOI: 10.1016/0002-8703(47)90148-8. View
4.
Mokabberi R, Shirani J, M A, Go B, Schiavone W . Streptococcal pharyngitis-associated myocarditis mimicking acute STEMI. JACC Cardiovasc Imaging. 2010; 3(8):892-3. DOI: 10.1016/j.jcmg.2010.05.012. View
5.
Mavrogeni S, Bratis K, Kitsiou A, Kolovou G . Streptococcal tonsillitis and acute streptococcal myocarditis: an unusual combination assessed by cardiac magnetic resonance imaging and endomyocardial biopsy. Ann Otol Rhinol Laryngol. 2012; 121(9):604-8. DOI: 10.1177/000348941212100907. View