A Unique Presentation of Bacterial Group G Streptococcus Myopericarditis

Perimyocarditis and myopericarditis are inflammatory conditions of the pericardium and myocardium, often of idiopathic or infectious etiology, with viral infections being the most common. Nonrheumatic streptococcal myopericarditis (NSM) is a rare condition that can mimic acute myocardial infarction....

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Bibliographic Details
Published in:JIM - high impact case reports 2024-01, Vol.12, p.23247096241286363
Main Authors: Ozgur, Sacide S, Ansari, Nida, Alcantara, Alan, Vidreiro, Angela Pais, Rahman, Ryan, Shamoon, Yezin, Elkattawy, Sherif, Abboud, Rachel, Doshi, Rajkumar, Shamoon, Fayez
Format: Article
Language:English
Subjects:
Ampicillin - therapeutic use
Anti-Bacterial Agents - therapeutic use
Case Report
Chest Pain - etiology
Colchicine - therapeutic use
Humans
Ibuprofen - therapeutic use
Male
Myocarditis - diagnosis
Myocarditis - drug therapy
Myocarditis - microbiology
Pericarditis - diagnosis
Pericarditis - drug therapy
Pericarditis - microbiology
Pharyngitis - drug therapy
Pharyngitis - microbiology
Streptococcal Infections - complications
Streptococcal Infections - diagnosis
Streptococcal Infections - drug therapy
Streptococcal Infections - microbiology
Streptococcus - isolation & purification
Sulbactam - therapeutic use
Young Adult
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Summary:Perimyocarditis and myopericarditis are inflammatory conditions of the pericardium and myocardium, often of idiopathic or infectious etiology, with viral infections being the most common. Nonrheumatic streptococcal myopericarditis (NSM) is a rare condition that can mimic acute myocardial infarction. This case report presents a 22-year-old male with no prior medical history who developed NSM following a streptococcal pharyngitis infection. The patient presented with pleuritic chest pain, tightness, and decreased exercise tolerance. Laboratory studies revealed elevated troponin levels and positive antigen. Treatment included ampicillin-sulbactam, colchicine, ibuprofen, and dexamethasone. The patient's symptoms resolved, and he was discharged with amoxicillin-clavulanate, colchicine, and ibuprofen.
ISSN:2324-7096
2324-7096
DOI:10.1177/23247096241286363