Acute Rheumatic Fever Presenting With Isolated Myocarditis and Right Coronary Artery Occlusion
Acute rheumatic fever (ARF) traditionally presents with carditis, usually involving valvulitis. This case report describes a 22-year-old man with an atypical ARF presentation: isolated myocarditis and coronary artery occlusion. He presented with chest pain and signs of cardiogenic shock. Initial ele...
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| Main Authors: | , , , |
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| Format: | Article |
| Language: | English |
| Published: |
American College of Physicians
2025-05-01
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| Series: | Annals of Internal Medicine: Clinical Cases |
| Online Access: | https://www.acpjournals.org/doi/10.7326/aimcc.2024.0970 |
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| Summary: | Acute rheumatic fever (ARF) traditionally presents with carditis, usually involving valvulitis. This case report describes a 22-year-old man with an atypical ARF presentation: isolated myocarditis and coronary artery occlusion. He presented with chest pain and signs of cardiogenic shock. Initial electrocardiogram and elevated cardiac biomarkers led to a diagnosis of acute myocardial infarction due to 100% right coronary artery occlusion, which was managed with wire-based thrombus removal. Further work-up revealed elevated antistreptolysin-O titers and cardiac magnetic resonance imaging consistent with myocarditis. This case highlights an occurrence of such an unusual presentation of ARF. |
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| ISSN: | 2767-7664 |