{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,10,22]],"date-time":"2025-10-22T05:21:46Z","timestamp":1761110506247,"version":"3.37.3"},"reference-count":13,"publisher":"Oxford University Press (OUP)","issue":"2","license":[{"start":{"date-parts":[[2020,2,17]],"date-time":"2020-02-17T00:00:00Z","timestamp":1581897600000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2020,6,1]]},"abstract":"<jats:title>Abstract<\/jats:title>\n               <jats:sec>\n                  <jats:title>Background<\/jats:title>\n                  <jats:p>Streptococcal pharyngitis is a common infection, with both suppurative and non-suppurative complications. Most importantly, a streptococcal infection can cause heart disease in different pathophysiological pathways. Acute non-rheumatic perimyocarditis appears to be a more frequent pathological entity associated with streptococcal pharyngitis as once thought, which is poorly understood and explored.<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>Case summary<\/jats:title>\n                  <jats:p>We present the case of a middle-aged man with acute chest pain, electrocardiogram (ECG) abnormalities, and elevated cardiac enzymes following a recent episode of pharyngitis in which streptococcal-associated perimyocarditis was diagnosed. Cardiovascular magnetic resonance (CMR) imaging established the diagnosis and allowed cardiac disease monitoring after successful antibiotic therapy resulting in complete clinical recovery.<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>Discussion<\/jats:title>\n                  <jats:p>Patients presenting with acute chest pain, ECG abnormalities, and cardiac enzyme elevations do not always suffer from an ischaemic heart attack. A thorough investigation comprising a detailed past medical history and non-invasive imaging such as CMR are the cornerstones for unravelling a correct diagnosis and implementing a proper treatment\u2014as was shown in the present clinical case.<\/jats:p>\n               <\/jats:sec>","DOI":"10.1093\/ehjcr\/ytaa017","type":"journal-article","created":{"date-parts":[[2020,2,17]],"date-time":"2020-02-17T14:50:01Z","timestamp":1581951001000},"page":"1-6","source":"Crossref","is-referenced-by-count":2,"title":["Surprising diagnosis in a patient with acute coronary syndrome: a case report of acute streptococcal pharyngitis-associated perimyocarditis"],"prefix":"10.1093","volume":"4","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-1706-5073","authenticated-orcid":false,"given":"Grigorios","family":"Chatzantonis","sequence":"first","affiliation":[{"name":"Division of Cardiovascular Imaging, Department of Cardiology I, University Hospital M\u00fcnster, Albert-Schweitzer-Campus 1, Building A1, 48149 M\u00fcnster, Germany"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Claudia","family":"Meier","sequence":"first","affiliation":[{"name":"Division of Cardiovascular Imaging, Department of Cardiology I, University Hospital M\u00fcnster, Albert-Schweitzer-Campus 1, Building A1, 48149 M\u00fcnster, Germany"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Michael","family":"Bietenbeck","sequence":"first","affiliation":[{"name":"Division of Cardiovascular Imaging, Department of Cardiology I, University Hospital M\u00fcnster, Albert-Schweitzer-Campus 1, Building A1, 48149 M\u00fcnster, Germany"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Jan","family":"Rueckert","sequence":"first","affiliation":[{"name":"Department of Cardiology and Angiology, Josephs-Hospital Warendorf, Am Krankenhaus 2, 48231 Warendorf, Germany"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Thomas","family":"Dorsel","sequence":"first","affiliation":[{"name":"Department of Cardiology and Angiology, Josephs-Hospital Warendorf, Am Krankenhaus 2, 48231 Warendorf, Germany"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Ali","family":"Yilmaz","sequence":"first","affiliation":[{"name":"Division of Cardiovascular Imaging, Department of Cardiology I, University Hospital M\u00fcnster, Albert-Schweitzer-Campus 1, Building A1, 48149 M\u00fcnster, Germany"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Anca","family":"Florian","sequence":"first","affiliation":[{"name":"Division of Cardiovascular Imaging, Department of Cardiology I, University Hospital M\u00fcnster, Albert-Schweitzer-Campus 1, Building A1, 48149 M\u00fcnster, Germany"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"286","published-online":{"date-parts":[[2020,2,17]]},"reference":[{"key":"2020042405455109900_ytaa017-B1","doi-asserted-by":"crossref","first-page":"831","DOI":"10.1016\/0002-8703(47)90148-8","article-title":"Myocarditis associated with acute nasopharyngitis and acute tonsillitis","volume":"34","author":"Gore","year":"1947","journal-title":"Am Heart J"},{"key":"2020042405455109900_ytaa017-B2","doi-asserted-by":"crossref","first-page":"604","DOI":"10.1177\/000348941212100907","article-title":"Streptococcal tonsillitis and acute streptococcal myocarditis: an unusual combination assessed by cardiac magnetic resonance imaging and endomyocardial biopsy","volume":"121","author":"Mavrogeni","year":"2012","journal-title":"Ann Otol Rhinol Laryngol"},{"key":"2020042405455109900_ytaa017-B3","doi-asserted-by":"crossref","first-page":"2793","DOI":"10.1093\/eurheartj\/ehv316","article-title":"2015 ESC Guidelines for the management of patients with ventricular arrhythmias and the prevention of sudden cardiac death: The Task Force for the Management of Patients with Ventricular Arrhythmias and the Prevention of Sudden Cardiac Death of the European Society of Cardiology (ESC). 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