Acute Non-Rheumatic Myopericarditis: A Rare Complication of Pharyngitis

  • Rafael Silva Serviço de Medicina Interna, Centro Hospitalar e Universitário de Coimbra, Coimbra, Portugal
  • Luís Puga Serviço de Cardiologia, Centro Hospitalar e Universitário de Coimbra, Coimbra, Portugal
  • Rogério Teixeira Serviço de Cardiologia, Centro Hospitalar e Universitário de Coimbra, Coimbra, Portugal
  • Ana Botelho Serviço de Cardiologia, Centro Hospitalar e Universitário de Coimbra, Coimbra, Portugal
  • Carolina Lourenço Serviço de Cardiologia, Centro Hospitalar e Universitário de Coimbra, Coimbra, Portugal
  • Lino Gonçalves Serviço de Cardiologia, Centro Hospitalar e Universitário de Coimbra, Coimbra, Portugal
DOI: https://doi.org/10.12890/2018_000987

Keywords

Acute non-rheumatic myopericarditis, Streptococcus group a, cardiac magnetic resonance, upper airway infection

Abstract

Acute non-rheumatic streptococcal myopericarditis (ANRSM) is a rare complication of an upper airway infection by streptococcus group A in developed countries. Cardiac involvement in bacterial infections must be adequately treated because it can lead to long-term complications. This case report describes recurrent ANRSM in an 18-year-old man, which illustrates how difficult and challenging the diagnosis of this disease can be.

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References

  • Pourmand A, Gelman D, Davis S, Shokoohi H. Nonrheumatic myopericarditis post acute streptococcal pharyngitis: an uncommon cause of sore throat with ST segment elevation. Am J Emerg Med 2017;35:806.e1–806.e3.

  • Aguirre JL, Jurado M, Porres-Aguilar M, Olivas-Chacon C, Porres-Muñoz M, Mukherjee D, et al. Acute nonrheumatic streptococcal myocarditis resembling ST-elevation acute myocardial infarction in a young patient. Proc (Bayl Univ Med Cent) 2015;28:188–190.

  • Burova LA, Nagornev VA, Pigarevsky PV, Gladilina MM, Molchanova IV, Gavrilova EA, et al. Induction of myocarditis in rabbits injected with group A streptococci. Indian J Med Res 2004;119(Suppl):183–185.

  • Upadhyay GA, Gainor JF, Stamm LM, Weinberg AN, Dec GW, Ruskin JN. Acute nonrheumatic streptococcal myocarditis: STEMI mimic in young adults. Am J Med 2012;125:1230–1233.

  • Seckeler MD, Hoke TR. The worldwide epidemiology of acute rheumatic fever and rheumatic heart disease. Clin Epidemiol 2011;3:67–84.

  • Aguirre JL, Jurado M, Porres-Aguilar M, Olivas-Chacon C, Porres-Muñoz M, Mukherjee D, et al. Acute nonrheumatic streptococcal myocarditis resembling ST-elevation acute myocardial infarction in a young patient. Proc (Bayl Univ Med Cent) 2015;28:188–190.

    • Published: 2018-11-29

    Issue: Vol 5 No 12 (view)

    Section: Articles

    How to cite:
    1.
    Silva R, Puga L, Teixeira R, Botelho A, Lourenço C, Gonçalves L. Acute Non-Rheumatic Myopericarditis: A Rare Complication of Pharyngitis. EJCRIM 2018;5 doi:10.12890/2018_000987.

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