Pneumococcal Pneumonia Resembling Acute Myocardial Infarction in an Adolescent Male

Pediatr Infect Dis J. 2020 Jan;39(1):81-84. doi: 10.1097/INF.0000000000002527.

Abstract

Myocarditis is commonly associated with viruses. However, we present a novel case of a teenager with pneumococcal pneumonia and bacteremia complicated by myocarditis and rhabdomyolysis, presenting with features of acute ST-elevation myocardial infarction and cardiogenic shock. Physicians should be aware that Streptococcus pneumoniae infection, like Group A Streptococcus, can mimic acute myocardial infarction in young males without cardiovascular risk factors.

Publication types

  • Case Reports

MeSH terms

  • Adolescent
  • Biomarkers
  • Diagnosis, Differential
  • Electrocardiography
  • Humans
  • Inflammation Mediators
  • Male
  • Myocardial Infarction / diagnosis*
  • Myocardial Infarction / etiology
  • Pneumonia, Pneumococcal / diagnosis*
  • Pneumonia, Pneumococcal / etiology
  • Radiography, Thoracic

Substances

  • Biomarkers
  • Inflammation Mediators