Chest Pain, Adolescent Male

AbstractAn adolescent male with a recent history of streptococcal pharyngitis presented with severe substernal chest pain, troponin leak, and ST-segment elevation, which are suggestive of acute inferolateral myocardial infarction. The coronary angiogram was normal. The patient was subsequently diagnosed with non-rheumatic streptococcal myocarditis. He was treated with amoxicillin and had excellent recovery. Non-rheumatic streptococcal myocarditis is an important mimic of acute myocardial infarction in young adults.

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Chest pain in an adolescent male

International Journal of Emergency Medicine ◽

10.1007/s12245-008-0041-3 ◽

2008 ◽

Vol 1 (3) ◽

pp. 225-226

Author(s):

Anjali Bhagra ◽

Smitha Suravaram ◽

Jana L. Anderson

Keyword(s):

Chest Pain ◽

Adolescent Male

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Chest Pain in an Adolescent Male With a Leg Abscess

Clinical Pediatrics ◽

10.1177/0009922814563275 ◽

2014 ◽

Vol 54 (6) ◽

pp. 604-606

Author(s):

Carolyn M. Sawyer ◽

Nicholas M. Potisek

Keyword(s):

Chest Pain ◽

Adolescent Male

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Chest Pain in Adolescent Japanese Male Mimicking Acute Coronary Syndrome

Case Reports in Critical Care ◽

10.1155/2014/176520 ◽

2014 ◽

Vol 2014 ◽

pp. 1-3

Author(s):

Sachin K. Gupta ◽

Zahra Naheed

Keyword(s):

Acute Coronary Syndrome ◽

Chest Pain ◽

Adult Population ◽

Acute Chest Pain ◽

Adolescent Male ◽

Cardiac Enzymes ◽

Coronary Syndrome ◽

Adolescent Population ◽

Japanese Male ◽

Enzyme Elevation

Acute chest pain with very elevated troponin level and abnormal EKG in adult population is considered sine qua non to acute coronary syndrome (ACS) unless proved otherwise. Similar presentation in adolescent population is seen less often but raises suspicion for ACS. Most common etiology for chest pain with cardiac enzyme elevation in adolescent population is usually viral myopericarditis. The adolescent population presenting with chest pain and elevated cardiac enzymes should be carefully evaluated for ACS and other etiologies including myocarditis, myopericarditis, pulmonary embolism, acute rheumatic fever, and trauma. We report one Japanese adolescent male with mycoplasma pneumoniae myocarditis who presented to the ER with chest pain, elevated cardiac enzymes, and abnormal EKG.

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