title: Acute myopericarditis complicating acute tonsillitis: beware the young male patient with tonsillitis complaining of chest pain.
abstract: 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.
authors.affiliation: Department of Otolaryngology-Head and Neck Surgery, Western Galilee Hospital, Nahariya, Israel.
authors.forename: Yoav
authors.initials: Y
authors.lastname: Talmon
authors.forename: Peter
authors.initials: P
authors.lastname: Gilbey
authors.forename: Nancy
authors.initials: N
authors.lastname: Fridman
authors.forename: Alice
authors.initials: A
authors.lastname: Wishniak
authors.forename: Nathan
authors.initials: N
authors.lastname: Roguin
mesh_terms: 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
chemical_list: D000900:Anti-Bacterial Agents; D000894:Anti-Inflammatory Agents, Non-Steroidal; D019210:Troponin I