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Ann Oto Rhinol Laryn · Apr 2008
Comparative StudyAcute myopericarditis complicating acute tonsillitis: beware the young male patient with tonsillitis complaining of chest pain.
- Yoav Talmon, Peter Gilbey, Nancy Fridman, Alice Wishniak, and Nathan Roguin.
- Department of Otolaryngology-Head and Neck Surgery, Western Galilee Hospital, Nahariya, Israel.
- Ann Oto Rhinol Laryn. 2008 Apr 1; 117 (4): 295-7.
ObjectivesWe describe 11 cases of myopericarditis complicating bacterial tonsillitis.MethodsWe performed a retrospective study of all cases of myopericarditis treated at one hospital during the years 2005 and 2006.ResultsThe patients were all young men. The average latency from the onset of throat pain to the onset of chest pain was 4.6 days. All patients complained of chest pain. The most common electrocardiographic finding was transient ST segment elevations. The levels of cardiac enzymes and troponin were elevated in all cases.ConclusionsOtolaryngologists should be aware of this rare entity. Additional studies are indicated to evaluate the exact incidence of myopericarditis associated with acute streptococcal tonsillitis.
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