The spiked helmet sign in a patient with erysipelas: an alarming electrocardiogram sign (a case report).

Autor: Fall, Salihou, Farhat, Sameh Ben, Chelly, Ahmed, Kaddour, Hella, Saad, Saeb Ben, El Hedi, Ahmed Mohamed, Slim, Mehdi, Thabet, Houssem, Ouannes, Sami, Gribaa, Rym, Elhraiech, Aymen, Elyes, Neffati
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Zdroj: Pan African Medical Journal; Sep-Dec2023, Vol. 46, p1-7, 7p
Abstrakt: Early diagnosis of the spiked helmet sign is challenging. This ST-elevation myocardial infarction mimic was first described in 2011 by Littmann and colleagues and was linked to severe non-coronary pathologies, with a high risk of mortality. We present a case of a 60-year-old female patient who developed severe erysipelas with sepsis associated with severe hypokalemia. She had a spiked helmet sign on her routine electrocardiogram at hospital admission. We performed a coronary angiogram that showed no culprit artery. She developed afterward an ischemic stroke. Through intensive management of the patient's sepsis and electrolyte disturbance, she had a favorable outcome. [ABSTRACT FROM AUTHOR]
Databáze: Complementary Index