Document Detail


Recurrent Acute Nonrheumatic Streptococcal Myocarditis Mimicking STEMI in a Young Adult.
MedLine Citation:
PMID:  24963417     Owner:  NLM     Status:  PubMed-not-MEDLINE    
Abstract/OtherAbstract:
Myocarditis consists of an inflammation of the cardiac muscle, definitively diagnosed by endomyocardial biopsy. The causal agents are primarily infectious: in developed countries, viruses appear to be the main cause, whereas in developing countries rheumatic carditis, Chagas disease, and HIV are frequent causes. Furthermore, myocarditis can be indirectly induced by an infectious agent and occurs following a latency period during which antibodies are created. Typically, myocarditis observed in rheumatic fever related to group A streptococcal (GAS) infection occurs after 2- to 3-week period of latency. In other instances, myocarditis can occur within few days following a streptococcal infection; thus, it does not fit the criteria for rheumatic fever. Myocarditis classically presents as acute heart failure, and can also be manifested by tachyarrhythmia or chest pain. Likewise, GAS-related myocarditis reportedly mimics myocardial infarction (MI) with typical chest pain, electrocardiograph changes, and troponin elevation. Here we describe a case of recurrent myocarditis, 5 years apart, with clinical presentation imitating an acute MI in an otherwise healthy 37-year-old man. Both episodes occurred 3 days after GAS pharyngitis and resolved quickly following medical treatment.
Authors:
Amanda Chikly; Ronen Durst; Chaim Lotan; Shmuel Chen
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Publication Detail:
Type:  Journal Article     Date:  2014-05-22
Journal Detail:
Title:  Case reports in cardiology     Volume:  2014     ISSN:  2090-6404     ISO Abbreviation:  Case Rep Cardiol     Publication Date:  2014  
Date Detail:
Created Date:  2014-06-25     Completed Date:  2014-06-25     Revised Date:  2014-06-27    
Medline Journal Info:
Nlm Unique ID:  101576452     Medline TA:  Case Rep Cardiol     Country:  United States    
Other Details:
Languages:  eng     Pagination:  964038     Citation Subset:  -    
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