title: Acute nonrheumatic streptococcal myocarditis resembling ST-elevation acute myocardial infarction in a young patient.
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.
authors.affiliation: 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).
authors.forename: Jose L
authors.initials: JL
authors.lastname: Aguirre
authors.affiliation: 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).
authors.forename: Margarita
authors.initials: M
authors.lastname: Jurado
authors.affiliation: 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).
authors.forename: Mateo
authors.initials: M
authors.lastname: Porres-Aguilar
authors.affiliation: 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).
authors.forename: Cristina
authors.initials: C
authors.lastname: Olivas-Chacon
authors.affiliation: 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).
authors.forename: Mateo
authors.initials: M
authors.lastname: Porres-Muñoz
authors.affiliation: 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).
authors.forename: Debabrata
authors.initials: D
authors.lastname: Mukherjee
authors.affiliation: 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).
authors.forename: Juan
authors.initials: J
authors.lastname: Taveras
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