Atrioventricular block complicating acute streptococcal tonsillitis.
A 38 year old woman presented with severe weakness, high fever, and sore throat. Physical examination showed follicular tonsillitis and bradycardia caused by a atrioventricular block. Within 24 hours a normal sinus rhythm was regained but slight transient ST-T changes compatible with myocarditis were evident. Throat culture grew Streptococcus haemolyticus group A.
Caraco
J
J
Department of Medicine B, Hadassah University Hospital, Jerusalem, Israel.
Arnon
R
R
Raz
I
I
D000208:Acute Disease; D000328:Adult; D004562:Electrocardiography; D005260:Female; D006327:Heart Block / Q000209:etiology* / Q000503:physiopathology; D006801:Humans; D013290:Streptococcal Infections / Q000150:complications*; D013297:Streptococcus pyogenes; D014069:Tonsillitis / Q000150:complications* / Q000209:etiology