Evidence map›Paper›PMID 40750158›Full record

ArticleJACC. Case reports2025

Myocarditis Triggered by Erysipelas: A Rare Infectious Complication.

Katharina Wosgien, Darach O H-Ici

Abstract readCase Reports
In one paragraph

Article in JACC. Case reports, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

1 citing paper in PubMed.

  1. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

2 authors.

Katharina WosgienDepartment of Cardiology and Internal Intensive Care Medicine, Vivantes Friedrichshain Berlin, Berlin, Germany. Electronic address: wosgien@gmx.net.
Darach O H-IciDepartment of Cardiology and Internal Intensive Care Medicine, Vivantes Friedrichshain Berlin, Berlin, Germany.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundMyocarditis is an inflammatory disease of the myocardium often triggered by viral infections. However, bacterial causes, such as group A β-hemolytic Streptococcus, are less common but clinically significant. CASE SUMMARY: A 26-year-old man presented with acute chest pain after erysipelas of the right foot. Electrocardiography revealed unspecific ST-segment elevations. Cardiac biomarkers were elevated, and transthoracic echocardiography showed global hypokinesia with a reduced ejection fraction. Cardiac magnetic resonance imaging confirmed myocarditis. Elevated antistreptolysin O titers indicated a recent streptococcal infection. The patient recovered fully after 7 days of intravenous antibiotics. DISCUSSION: This case highlights toxin-mediated myocarditis secondary to erysipelas, a rare but significant clinical entity. The body of evidence on nonrheumatic bacterial myocarditis underscores the importance of early recognition and appropriate imaging. TAKE-HOME MESSAGES: Streptococcal infections can cause myocarditis through toxin-mediated mechanisms. Cardiac magnetic resonance imaging is essential for diagnosing myocarditis and guiding management.

Indexed as

blood testscardiac magnetic resonancechest paincomplicationfibrosisimagingleft ventriclenecrosis

Identifiers

PMID40750158
PMCPMC12441575

What OpenQuestion holds

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LicenceCC BY-NC-ND
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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.