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Non-rheumatic streptococcal myocarditis mimicking acute myocardial infarction in an adolescent male

Part of: Infectious

Published online by Cambridge University Press:  08 January 2018

Caitlin E. O’Brien ,
John D. Coulson ,
Priya Sekar ,
Jon R. Resar  and
Kristen Nelson McMillan
Caitlin E. O’Brien
Affiliation:
Department of Anesthesiology and Critical Care Medicine, Johns Hopkins School of Medicine, Baltimore, Maryland, United States of America
John D. Coulson
Affiliation:
Department of Pediatrics, Division of Pediatric Cardiology, Johns Hopkins School of Medicine, Baltimore, Maryland, United States of America
Priya Sekar
Affiliation:
Department of Pediatrics, Division of Pediatric Cardiology, Johns Hopkins School of Medicine, Baltimore, Maryland, United States of America
Jon R. Resar
Affiliation:
Department of Medicine, Division of Cardiology, Johns Hopkins School of Medicine, Baltimore, Maryland, United States of America
Kristen Nelson McMillan*
Affiliation:
Department of Anesthesiology and Critical Care Medicine, Johns Hopkins School of Medicine, Baltimore, Maryland, United States of America
*
Correspondence to: Dr K. N. McMillan, MD, Department of Anesthesiology and Critical Care Medicine, Johns Hopkins Hospital, Bloomberg Children’s Center 6349 F, 1800 Orleans Street, Baltimore, MD 21287, United States of America. Tel: +410 955 5142; Fax: 410 502 5312; E-mail: knelso23@jhmi.edu
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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.

Keywords

Non-rheumatic streptococcal myocarditisacute myocardial infarctionpaediatric myocarditis
Type
Brief Report
Information
Cardiology in the Young , Volume 28 , Issue 3 , March 2018 , pp. 454 - 457
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Copyright
© Cambridge University Press 2018 

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