ST elevation without myocardial infarction

Bitar, Zouheir Ibrahim; Swede, Mohammad; Almerri, Khaled

doi:10.1136/bcr-2013-201160

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2015

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“…Myocarditis probably plays a role as autopsy series suggests associated rates of 27–57% in children and as high as 85% in adults [ 5 ]. Acute myocarditis, in general, may present with chest pain, ECG changes, and elevated serum markers, all of which were seen in our case [ 10 ] and may trigger coronary spasm mimicking myocardial infarction [ 11 ].…”

Section: Discussionmentioning

confidence: 99%

Meningococcemia Presenting as a Myocardial Infarction

Lachant

Trawick

2015

Case Reports in Critical Care

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Neisseria meningitidis is an encapsulated gram negative diplococcus that colonizes the nasopharynx and is transmitted by aerosol or secretions with the majority of cases occurring in infants and adolescents. Meningococcemia carries a high mortality which is in part due to myocarditis. Early recognition and prompt use of antibiotics improve morbidity and mortality. We report a 55-year-old male presenting to the emergency department with chest pain, shortness of breath, and electrocardiogram changes suggestive of ST elevation MI who developed cardiogenic shock and multisystem organ failure from N. meningitidis. We present this case to highlight the unique presentation of meningococcemia, the association with myocardial dysfunction, and the importance of early recognition and prompt use of antibiotics.

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Section: Discussionmentioning

confidence: 99%