Non-rheumatic streptococcal myocarditis - Warm hands, warm heart

Chaudhuri, Alex, Dooris, Mark and Woods, Marion L. (2013) Non-rheumatic streptococcal myocarditis - Warm hands, warm heart. Journal of Medical Microbiology, 62 PART1: 169-172. doi:10.1099/jmm.0.049569-0

Author Chaudhuri, Alex
Dooris, Mark
Woods, Marion L.
Title Non-rheumatic streptococcal myocarditis - Warm hands, warm heart
Journal name Journal of Medical Microbiology   Check publisher's open access policy
ISSN 0022-2615
Publication date 2013
Year available 2013
Sub-type Article (original research)
DOI 10.1099/jmm.0.049569-0
Open Access Status
Volume 62
Issue PART1
Start page 169
End page 172
Total pages 4
Place of publication Reading, Berks, United Kingdom
Publisher Society for General Microbiology
Collection year 2013
Language eng
Subject 2726 Microbiology (medical)
2404 Microbiology
Abstract Acute myopericarditis in the developed world is ascribed predominantly to viral infections. Enteroviruses and adenoviruses are commonly implicated but are not routinely tested for, as the condition is self-limiting and has a good prognosis. However, we recently encountered two cases of acute myopericarditis associated with concomitant Streptococcus pyogenes [group A Streptococcus (GAS)] pharyngotonsillitis. A microbiological aetiology was pursued because of the severity of the upper respiratory tract infection and associated systemic illness rather than to explain the myopericarditis per se. We report these two cases and review the literature of this potentially under-recognized condition. In the absence of features of rheumatic fever, we hypothesize a toxin-mediated process as opposed to an immune-mediated one. We suggest that perhaps all patients with myopericarditis be assessed for GAS pharyngitis.
Q-Index Code C1
Q-Index Status Provisional Code
Institutional Status Non-UQ

Document type: Journal Article
Sub-type: Article (original research)
Collection: School of Medicine Publications
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