Recently, Dominguez et al. reported in the Canadian Journal of Cardiology an association between erysipelas, or presumed streptococcal-associated cellulitis, with acute myocarditis.
1We encountered a similar case, which might support the notion of a relationship.
- Dominguez F.
- Cobo-Marcos M.
- Guzzo G.
- et al.
Erysipelas and acute myocarditis: an unusual combination.
Can J Cardiol. 2013; 29: 1138.e3-1138.e5
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- Erysipelas and acute myocarditis: an unusual combination.Can J Cardiol. 2013; 29: 1138.e3-1138.e5
- Streptococcal tonsillitis and acute nonrheumatic myopericarditis.Chest. 1989; 95: 359-363
- Acute nonrheumatic streptococcal myocarditis: STEMI mimic in young adults.Am J Med. 2012; 125: 1230-1233
- Priming the immune system for heart disease: a perspective on group A streptococci.J Infect Dis. 2010; 202: 1059-1067
Published online: December 06, 2013
© 2014 Canadian Cardiovascular Society. Published by Elsevier Inc. All rights reserved.
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- Erysipelas and Acute Myocarditis: An Unusual CombinationCanadian Journal of CardiologyVol. 29Issue 9
- PreviewMyocarditis is a rare disease with variable clinical presentation and diverse electrocardiographic and echocardiographic features. Viral infection is the most common cause, but myocarditis can also be caused by bacterial infection. The most frequently involved bacterial agent is group A Streptococcus, which is also an etiologic agent of erysipelas. We present the case of a man aged 46 years with left-leg erysipelas who developed myocarditis. Cardiac magnetic resonance played an essential role in diagnosis.