Fulminant Bacterial Myocarditis Presenting as Myocardial Infarction

Cvetan Trpkov; Michael Chiu; Eun-Young Kang; Adrian Box; Andrew Grant

doi:10.1016/j.jaccas.2020.03.023

Fulminant Bacterial Myocarditis Presenting as Myocardial Infarction

JACC Case Rep. 2020 May 20;2(5):830-831. doi: 10.1016/j.jaccas.2020.03.023. eCollection 2020 May.

Authors

Cvetan Trpkov¹, Michael Chiu¹, Eun-Young Kang², Adrian Box², Andrew Grant¹

Affiliations

¹ Cardiology, University of Calgary, Calgary, Alberta, Canada.
² Anatomical Pathology, University of Calgary, Calgary, Alberta, Canada.

Abstract

A previously healthy man presented with inferior myocardial infarction and recent upper respiratory tract infection. Bacteremia was detected and treated; however, the patient developed refractory polymorphic ventricular tachycardia storm and shock. Clinical autopsy revealed the diagnosis of isolated bacterial myocarditis. (Level of Difficulty: Beginner.).

Keywords: BM, bacterial myocarditis; Staphylococcus aureus; arrhythmia; autopsy; myocardial abscess.