A Rare Case of Non-rheumatic Streptococcal Acute Myocarditis

Abstract

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.