Document Detail


Non-rheumatic streptococcal myocarditis - warm hands, warm heart.
MedLine Citation:
PMID:  23002069     Owner:  NLM     Status:  Publisher    
Abstract/OtherAbstract:
Acute myopericarditis in the developed world is ascribed predominantly to viral infections. Enteroviruses and adenoviruses are commonly implicated but are not routinely tested for, as the condition is self-limiting and has a good prognosis. However, we recently encountered two cases of acute myopericarditis associated with concomitant Streptococcus pyogenes [Group A Streptococcus (GAS)] pharyngo-tonsillitis. A microbiological etiology was pursued because of the severity of the upper respiratory tract infection and associated systemic illness rather than to explain the myopericarditis, per se. We report these two cases and review the literature of this potentially under-recognised condition. In the absence of features of rheumatic fever we hypothesise a toxin-mediated process as opposed to an immune-mediated one. We suggest that perhaps all cases with myopericarditis be assessed for GAS pharyngitis.
Authors:
Alex Chaudhuri; Marion L Woods; Mark Dooris
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Publication Detail:
Type:  JOURNAL ARTICLE     Date:  2012-9-20
Journal Detail:
Title:  Journal of medical microbiology     Volume:  -     ISSN:  1473-5644     ISO Abbreviation:  J. Med. Microbiol.     Publication Date:  2012 Sep 
Date Detail:
Created Date:  2012-9-24     Completed Date:  -     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  0224131     Medline TA:  J Med Microbiol     Country:  -    
Other Details:
Languages:  ENG     Pagination:  -     Citation Subset:  -    
Affiliation:
1 Sullivan Nicolaides Pathology;
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