| Acute streptococcal myopericarditis mimicking myocardial infarction. | |
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MedLine Citation:
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PMID: 18534319 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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A 25-year-old man who had recurrent sore throats presented with sharp central chest pain 5 hours after starting penicillin for tonsillitis. Electrocardiogram (ECG) revealed ST-segment elevation in leads I and aVL with reciprocal ST depression in lead III (Fig. 1). Troponin I was measured as 33 microg/L (normal range, b0.1 microg/L), and C-reactive protein (CRP) was 127 (normal range b10). Echocardiogram revealed a nondilated well-contracting left ventricle, and cardiac catheterization revealed normal coronary arteries. A diagnosis of acute myopericarditis was made, and he was treated with moxifloxacin. Throat swabs grew Lancefield group A Streptococcus. Over subsequent days, his symptoms and ECG changes resolved, and he was discharged on longterm prophylactic penicillin. |
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Authors:
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Ali Khavandi; John Whitaker; Andrew Elkington; Jo Probert; Paul R Walker |
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Publication Detail:
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Type: Case Reports; Journal Article |
Journal Detail:
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Title: The American journal of emergency medicine Volume: 26 ISSN: 1532-8171 ISO Abbreviation: Am J Emerg Med Publication Date: 2008 Jun |
Date Detail:
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Created Date: 2008-06-06 Completed Date: 2008-07-01 Revised Date: - |
Medline Journal Info:
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Nlm Unique ID: 8309942 Medline TA: Am J Emerg Med Country: United States |
Other Details:
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Languages: eng Pagination: 638.e1-2 Citation Subset: IM |
Affiliation:
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Department of Cardiology, Southmead Hospital, BS10 5NB Bristol, United Kingdom. khavandi@hotmail.com |
Export Citation:
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| MeSH Terms | |
Descriptor/Qualifier:
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Adult Diagnosis, Differential Electrocardiography Humans Male Myocardial Infarction / diagnosis* Myositis / diagnosis*, microbiology Pericarditis / diagnosis*, microbiology Streptococcal Infections / diagnosis*, microbiology |
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