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Aguirre JL, Jurado M, Porres-Aguilar M, et al. Acute nonrheumatic streptococcal myocarditis resembling ST-elevation acute myocardial infarction in a young patient. Proc (Bayl Univ Med Cent). 2015;28(2):188-90doi: 10.1080/08998280.2015.11929224.
Aguirre, J. L., Jurado, M., Porres-Aguilar, M., Olivas-Chacon, C., Porres-Muñoz, M., Mukherjee, D., & Taveras, J. (2015). Acute nonrheumatic streptococcal myocarditis resembling ST-elevation acute myocardial infarction in a young patient. Proceedings (Baylor University. Medical Center), 28(2), 188-90. https://doi.org/10.1080/08998280.2015.11929224
Aguirre, Jose L, et al. "Acute nonrheumatic streptococcal myocarditis resembling ST-elevation acute myocardial infarction in a young patient." Proceedings (Baylor University. Medical Center) vol. 28,2 (2015): 188-90. doi: https://doi.org/10.1080/08998280.2015.11929224
Aguirre JL, Jurado M, Porres-Aguilar M, Olivas-Chacon C, Porres-Muñoz M, Mukherjee D, Taveras J. Acute nonrheumatic streptococcal myocarditis resembling ST-elevation acute myocardial infarction in a young patient. Proc (Bayl Univ Med Cent). 2015 Apr;28(2):188-90. doi: 10.1080/08998280.2015.11929224. PMID: 25829649; PMCID: PMC4365115.
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Proc (Bayl Univ Med Cent). 2015 Apr;28(2):188-90. doi: 10.1080/08998280.2015.11929224.

Acute nonrheumatic streptococcal myocarditis resembling ST-elevation acute myocardial infarction in a young patient.

Proceedings (Baylor University. Medical Center)

Jose L Aguirre, Margarita Jurado, Mateo Porres-Aguilar, Cristina Olivas-Chacon, Mateo Porres-Muñoz, Debabrata Mukherjee, Juan Taveras

Affiliations

  1. Cardiology Care Consultants, El Paso, Texas (Aguirre, Jurado); the Department of Internal Medicine (Porres-Aguilar), Department of Radiology (Olivas-Chacon), and Division of Cardiovascular Diseases (Mukherjee), Texas Tech University Health Sciences Center/Paul L. Foster School of Medicine, El Paso, Texas; the Department of Internal Medicine, Universidad Autonoma de Tamaulipas School of Medicine, Beneficencia Española de Tampico, Tampico, Mexico (Porres-Muñoz); and the Department of Cardiology, Las Palmas Medical Center, El Paso, Texas (Taveras).

PMID: 25829649 PMCID: PMC4365115 DOI: 10.1080/08998280.2015.11929224

Abstract

Acute myocarditis can be induced by various concomitant disease processes including infections. Most of these cases are viral in origin; however, bacterial infections are also implicated to a lesser degree. Group A streptococcus is a frequent culprit in bacterial-induced myocarditis. Its diagnosis is suspected by the presence of signs and symptoms of rheumatic fever as established by the Jones criteria. The development and refinement of current diagnostic tools has improved our ability to identify specific pathogens. It has been found that group A streptococcus may be responsible for more cases of infection-induced acute myocarditis than previously thought, and often without the clinical features of rheumatic fever. We present the case of a 43-year-old man hospitalized with chest pain that was initially diagnosed as an acute ST-elevation myocardial infarction. Further evaluation confirmed that his chief complaint was due to acute nonrheumatic streptococcal myocarditis.

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