Acute myopericarditis complicating acute tonsillitis: beware the young male patient with tonsillitis complaining of chest pain.
OBJECTIVE
We describe 11 cases of myopericarditis complicating bacterial tonsillitis.


METHODS
We performed a retrospective study of all cases of myopericarditis treated at one hospital during the years 2005 and 2006.


RESULTS
The patients were all young men. The average latency from the onset of throat pain to the onset of chest pain was 4.6 days. All patients complained of chest pain. The most common electrocardiographic finding was transient ST segment elevations. The levels of cardiac enzymes and troponin were elevated in all cases.


CONCLUSIONS
Otolaryngologists should be aware of this rare entity. Additional studies are indicated to evaluate the exact incidence of myopericarditis associated with acute streptococcal tonsillitis.
Talmon
Yoav
Y
Department of Otolaryngology-Head and Neck Surgery, Western Galilee Hospital, Nahariya, Israel.
Gilbey
Peter
P
Fridman
Nancy
N
Wishniak
Alice
A
Roguin
Nathan
N
D000208:Acute Disease; D000293:Adolescent; D000328:Adult; D000900:Anti-Bacterial Agents / Q000627:therapeutic use; D000894:Anti-Inflammatory Agents, Non-Steroidal / Q000627:therapeutic use; D002637:Chest Pain / Q000209:etiology; D004452:Echocardiography; D004562:Electrocardiography; D006801:Humans; D008297:Male; D009205:Myocarditis / Q000175:diagnosis / Q000000981:diagnostic imaging / Q000209:etiology*; D010493:Pericarditis / Q000175:diagnosis / Q000000981:diagnostic imaging / Q000209:etiology*; D013290:Streptococcal Infections / Q000150:complications* / Q000188:drug therapy; D013997:Time Factors; D014069:Tonsillitis / Q000150:complications* / Q000188:drug therapy; D016896:Treatment Outcome; D019210:Troponin I / Q000097:blood
D000900:Anti-Bacterial Agents; D000894:Anti-Inflammatory Agents, Non-Steroidal; D019210:Troponin I