Acute non-rheumatic myocarditis following group G streptococcal pharyngitis: a rare mimic of acute myocardial ischemia in a young adult

This case highlights a rare instance of non-rheumatic acute myocarditis also known as Streptococcal pharyngitis acute myocarditis, caused by group G streptococcus in a 19-year-old male without rheumatic fever.Streptococcal pharyngitis acute myocarditis may present with clinical features closely resembling an acute coronary syndrome; hence advance cardiac imaging is essential to confirm myocarditis and rule out true ischemic heart disease.Cardiac magnetic resonance imaging was used to diagnose Streptococcal pharyngitis acute myocarditis which showed subepicardial hyper-enhancement 4 weeks after discharge and resolution of symptoms.Prompt diagnosis was achieved, and the patient was treated with antibiotics and anti-inflammatory therapy in a timely fashion with good response.