Streptococcal pharyngitis associated myocarditis (SPAM): the perfect ST-segment elevation myocardial infarction (STEMI) mimic in young individuals. A case series.

SPAM is an infrequent cause of myocarditis presenting as a STEMI and most commonly affects young individuals. Clinical examination and anamnesis can hint towards ongoing or recent pharyngitis whereas coronary angiography remains obligatory to exclude obstructive coronary artery disease. Positive throat culture and cardiac imaging compatible with myocarditis can confirm the diagnosis. Group A streptococcus is potentially the most frequent cause and Group B Streptococcus could be considered as a rare cause. Short-term prognosis appears to be favourable.