Acute nonrheumatic myopericarditis associated with group A hemolytic streptococcal tonsillitis in a male ICU-nurse

We present the case of a 38-year-old man who developed acute myopericarditis, mimicking acute myocardial infarction, as manifested by electrocardiographic, echocardiographic alterations and elevated cardiac enzymes complicating Lancefield group A beta-hemolytic streptococcal tonsillitis. After recei...

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Veröffentlicht in:	Netherlands journal of medicine 1998-12, Vol.53 (6), p.266-270
Hauptverfasser:	Said, S.A.M., Severin, W.P.J.
Format:	Artikel
Sprache:	eng
Schlagworte:	Acute Disease Adult Anti-Bacterial Agents - therapeutic use Bacterial diseases Biological and medical sciences Diagnosis, Differential Echocardiography Electrocardiography Ent and stomatologic bacterial diseases Follow-Up Studies Human bacterial diseases Humans Infectious diseases Intensive Care Units Lancefield group A beta-hemolytic streptococci Male Medical sciences Myocardial Infarction - diagnosis Myocarditis - diagnosis Myocarditis - drug therapy Myocarditis - microbiology Nonrheumatic myopericarditis Nurses, Male Penicillins Pericarditis - diagnosis Pericarditis - drug therapy Pericarditis - microbiology Streptococcal Infections - diagnosis Streptococcal Infections - drug therapy Streptococcal Infections - microbiology Streptococcus pyogenes - isolation & purification Tonsillitis Tonsillitis - diagnosis Tonsillitis - drug therapy Tonsillitis - microbiology
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Zusammenfassung:	We present the case of a 38-year-old man who developed acute myopericarditis, mimicking acute myocardial infarction, as manifested by electrocardiographic, echocardiographic alterations and elevated cardiac enzymes complicating Lancefield group A beta-hemolytic streptococcal tonsillitis. After receiving oral penicillin, the clinical recovery was complete. Fever, tachycardia and chest discomfort resolved within a few days. Furthermore, enzyme levels and C-reactive protein returned to normal within eight days.
ISSN:	0300-2977 1872-9061
DOI:	10.1016/S0300-2977(98)00100-4