title: Erysipelas and acute myocarditis: an unusual combination.
abstract: Myocarditis is a rare disease with variable clinical presentation and diverse electrocardiographic and echocardiographic features. Viral infection is the most common cause, but myocarditis can also be caused by bacterial infection. The most frequently involved bacterial agent is group A Streptococcus, which is also an etiologic agent of erysipelas. We present the case of a man aged 46 years with left-leg erysipelas who developed myocarditis. Cardiac magnetic resonance played an essential role in diagnosis. This case is, to our knowledge, the first description of an association between erysipelas and myocarditis.
authors.affiliation: Department of Cardiology, Hospital Universitario Puerta de Hierro, Madrid, Spain.
authors.forename: Fernando
authors.initials: F
authors.lastname: Domínguez
authors.forename: Marta
authors.initials: M
authors.lastname: Cobo-Marcos
authors.forename: Gonzalo
authors.initials: G
authors.lastname: Guzzo
authors.forename: Miguel A
authors.initials: MA
authors.lastname: Cavero
authors.forename: Jesús G
authors.initials: JG
authors.lastname: Mirelis
authors.forename: Luis
authors.initials: L
authors.lastname: Alonso-Pulpon
authors.forename: Pablo
authors.initials: P
authors.lastname: Garcia-Pavia
mesh_terms: D000658:Amoxicillin / Q000627:therapeutic use; D000900:Anti-Bacterial Agents / Q000627:therapeutic use; D001706:Biopsy; D019818:Clavulanic Acid / Q000627:therapeutic use; D004359:Drug Therapy, Combination; D004886:Erysipelas / Q000175:diagnosis / Q000188:drug therapy / Q000382:microbiology*; D004890:Erythema / Q000209:etiology; D006801:Humans; D007866:Leg; D008279:Magnetic Resonance Imaging; D008297:Male; D008875:Middle Aged; D009205:Myocarditis / Q000175:diagnosis / Q000188:drug therapy / Q000382:microbiology*; D010146:Pain / Q000209:etiology; D012867:Skin / Q000473:pathology; D013297:Streptococcus pyogenes / Q000302:isolation & purification*
chemical_list: D000900:Anti-Bacterial Agents; D019818:Clavulanic Acid; D000658:Amoxicillin