SHM Converge Scientific Abstract ePoster Gallery-Is There Still Rheum in Your Heart?: Nonrheumatic Strep Myocarditis

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This literature list focuses on the relationship between streptococcal throat infection and cardiac inflammation, especially distinguishing <strong>acute rheumatic fever</strong> from <strong>non-rheumatic streptococcal myocarditis/myopericarditis</strong>. The cited case reports describe rare instances in which patients developed myocarditis or myopericarditis after pharyngitis and presented with symptoms that could mimic an acute myocardial infarction, including chest pain and abnormal cardiac findings. One article specifically highlights acute non-rheumatic myopericarditis as a rare complication of pharyngitis, while another reports non-rheumatic streptococcal myocarditis in an adolescent male that resembled a heart attack.

A key theme across the references is the importance of correctly separating <strong>rheumatic</strong> from <strong>non-rheumatic</strong> cardiac disease following streptococcal infection. The 2019 review explicitly addresses this diagnostic challenge, emphasizing that not all post-streptococcal cardiac inflammation is rheumatic fever. The final citation, the American Heart Association’s revision of the <strong>Jones criteria</strong>, provides updated diagnostic guidance for acute rheumatic fever in the modern era of Doppler echocardiography, underscoring how echocardiographic evidence can improve accuracy.

Overall, these sources suggest that clinicians should consider non-rheumatic streptococcal myocarditis in patients with recent pharyngitis and chest pain, while also using established criteria to assess for acute rheumatic fever. Early and accurate differentiation is important because it affects treatment decisions, prognosis, and long-term follow-up.

Asset Subtitle

Bansi Patel

Meta Tag

Author List Bansi Patel, Benjamin Goodman III

Category Clinical Vignettes

Concept Non-rheumatic streptococcal myocarditis

Concept Rheumatic Fever

Concept Revised Jones criteria

Concept Myopericarditis

Concept Group A Streptococcal Pharyngitis

Distinguished Non-Finalist

Presenter Organization Eastern Virginia Medical School Internal Medicine Residency

Presenting Author Bansi Patel

Track Adult

Keywords

streptococcal throat infection

acute rheumatic fever

non-rheumatic streptococcal myocarditis

myopericarditis

pharyngitis

cardiac inflammation

chest pain

myocardial infarction mimic

Jones criteria

Doppler echocardiography

Non-rheumatic streptococcal myocarditis

Rheumatic Fever

Revised Jones criteria

Myopericarditis

Group A Streptococcal Pharyngitis