Key result
A patient presenting with symptoms mimicking an acute coronary event was diagnosed with myopericarditis due to streptococcal tonsillar infection and fully recovered after treatment with aspirin.
Case Report (n=1)
Myopericarditis can closely mimic acute coronary syndrome, highlighting the importance of multimodality imaging such as cardiac CT for accurate diagnosis.
Infectious myopericarditis may mimic ACS; this case report leaves open the role of multimodality imaging.
Myopericarditis is an uncommon medical condition characterized by symptoms and signs of pericarditis with myocardial involvement. The main differential diagnosis is acute coronary event. Chest pain, electrocardiogtaphic changes, elevated cardiac enzymes and regional wall motion abnormality might turn the situation into a state of emergency. Here we describe a patient who presented with all of the above and positive family history of coronary artery disease. He was rushed to the catheterization unit, showing normal coronaries. Cardiac computerized tomography done later showed normal coronaries and pericardial enhancement typical of pericarditis with eventual diagnosis of myopericarditis due to streptococcal tonsillar infection. Patient was eventually treated with aspirin with full recovery of the left ventricular function. J Med Cases. 2014;5(5):262-263 doi: http://dx.doi.org/10.14740/jmc1336w
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Habib et al. (2014) conducted a case report in Myopericarditis (n=1). Aspirin was evaluated on Recovery of left ventricular function. A patient presenting with symptoms mimicking an acute coronary event was diagnosed with myopericarditis due to streptococcal tonsillar infection and fully recovered after treatment with aspirin.
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