title: Nonrheumatic myopericarditis post acute streptococcal pharyngitis: An uncommon cause of sore throat with ST segment elevation.
abstract: Nonrheumatic myopericarditis is an uncommon complication of acute pharyngitis caused by Group A Streptococcal infection (GAS). While the natural history of carditis complicating acute rheumatic fever is well established, the incidence, pathophysiology and clinical course of nonrheumatic myopericarditis are ill defined. Advances in rapid bedside testing for both myocardial injury and GAS pharyngitis have allowed for increasing recognition of this uncommon complication in patients presenting with a sore throat with associated chest discomfort. We describe a case of a 34years old man with GAS pharyngitis complicated by acute myopericarditis who presented with chest pain, ST segment elevation on electrocardiogram, and elevated cardiac biomarkers.
authors.affiliation: George Washington University, Emergency Medicine Department, Washington, DC, United States. Electronic address: pourmand@gwu.edu.
authors.forename: Ali
authors.initials: A
authors.lastname: Pourmand
authors.affiliation: George Washington University, Emergency Medicine Department, Washington, DC, United States.
authors.forename: Daniel
authors.initials: D
authors.lastname: Gelman
authors.affiliation: George Washington University, Emergency Medicine Department, Washington, DC, United States.
authors.forename: Steven
authors.initials: S
authors.lastname: Davis
authors.affiliation: George Washington University, Emergency Medicine Department, Washington, DC, United States.
authors.forename: Hamid
authors.initials: H
authors.lastname: Shokoohi
mesh_terms: D000328:Adult; D002637:Chest Pain / Q000209:etiology* / Q000382:microbiology; D004562:Electrocardiography; D006801:Humans; D008297:Male; D009205:Myocarditis / Q000000981:diagnostic imaging* / Q000382:microbiology; D010493:Pericarditis / Q000000981:diagnostic imaging* / Q000382:microbiology; D010612:Pharyngitis / Q000150:complications*; D013290:Streptococcal Infections / Q000150:complications* / Q000000981:diagnostic imaging