Article on Nonrheumatic myopericarditis post acute streptococcal pharyngitis accepted for the American Journal of Emergency Medicine

December 13, 2016

Dr. Ali PourmandDr. Stephen DavisDr. Hamid ShokoohiDr. Pourmand, Davis, and Shokoohi co-authored this article about an uncommon cause of sore throat with ST segment elevation.

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 34 years old man with GAS pharyngitis complicated by acute myopericarditis who presented with chest pain, ST segment elevation on electrocardiogram, and elevated cardiac biomarkers.