Acute Myopericarditis Due to Human Granulocytic Anaplasmosis

Authors

Wojciech Rzechorzek, Department of Cardiology, New York Medical College/Westchester Medical Center, 100 Woods Rd Valhalla, NY 10595, USA.
Dhrubajyoti Bandyopadhyay, Department of Cardiology, New York Medical College/Westchester Medical Center, 100 Woods Rd Valhalla, NY 10595, USA.
Areen Pitaktong, Department of Medicine, New York Medical College/Westchester Medical Center, 100 Woods Rd Valhalla, NY 10595, USA.
Pragya Ranjan, Department of Cardiology, New York Medical College/Westchester Medical Center, 100 Woods Rd Valhalla, NY 10595, USA.
Anthon Fuisz, Department of Cardiology, New York Medical College/Westchester Medical Center, 100 Woods Rd Valhalla, NY 10595, USA.
Marc Y. El-Khoury, Department of Medicine, New York Medical College/Westchester Medical Center, 100 Woods Rd Valhalla, NY 10595, USA.
Wilbert S. Aronow, New York Medical CollegeFollow
Stephen Pan, Department of Cardiology, New York Medical College/Westchester Medical Center, 100 Woods Rd Valhalla, NY 10595, USA.

Author Type(s)

Faculty, Resident/Fellow

DOI

10.2217/fca-2023-0028

Journal Title

Future Cardiology

First Page

197

Last Page

202

Document Type

Article

Publication Date

3-1-2023

Department

Medicine

Abstract

We present a case of a 54-year-old gentleman with a history of hypertension and chronic HIV who presented with fever and epigastric pain, found to have elevated troponin-I levels and diffuse ST-segement elevations on ECG without clinical evidence of ischemia concerning for myopericarditis. Initial laboratory findings also included thrombocytopenia and elevated aminotransferases as well as computed tomography imaging revealing splenic infarcts. Given plausible exposure to ticks, this led to the eventual diagnosis of anaplasmosis confirmed on PCR assay. Cardiac MRI images confirmed myocardial involvement, which resolved with antibiotic treatment. While rare, cardiac involvement is possible sequelae of anaplasmosis infection as illustrated by this case.

Recommended Citation

Rzechorzek, W., Bandyopadhyay, D., Pitaktong, A., Ranjan, P., Fuisz, A., El-Khoury, M. Y., Aronow, W. S., & Pan, S. (2023). Acute Myopericarditis Due to Human Granulocytic Anaplasmosis. Future Cardiology, 19 (4), 197-202. https://doi.org/10.2217/fca-2023-0028