Non-rheumatic Streptococcal Acute Myocarditis,
also known as Strep Pharyngitis Acute Myocarditis (SPAM) occurs in young
adults, typically within five days of the initial streptococcal
pharyngitis, and is characterized by typical cardiac symptoms, abnormal
electrocardiography, and elevated cardiac biomarkers in the absence of
obstructive coronary artery disease.
Patients may also report myalgias,
arthralgias, and constitutional symptoms. Although a rare complication of Group
A and G streptococcal infections, prompt recognition is important to ensure
appropriate management.
This article discusses the case of a
33-year-old male who presented with substernal chest pain and monoarticular
arthralgia two days after diagnosis with streptococcal pharyngitis, and reviews
available literature on the evaluation and management of SPAM.
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