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Case Report

Acute myopericarditis due to human granulocytic anaplasmosis

    Wojciech Rzechorzek

    *Author for correspondence: Tel.: +1 914 493 6608;

    E-mail Address: wojciech.rzechorzek@wmchealth.org

    Department of Cardiology, New York Medical College/Westchester Medical Center, 100 Woods Rd Valhalla, NY 10595, USA

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    ,
    Dhrubajyoti Bandyopadhyay

    Department of Cardiology, New York Medical College/Westchester Medical Center, 100 Woods Rd Valhalla, NY 10595, USA

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    ,
    Areen Pitaktong

    Department of Medicine, New York Medical College/Westchester Medical Center, 100 Woods Rd Valhalla, NY 10595, USA

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    ,
    Pragya Ranjan

    Department of Cardiology, New York Medical College/Westchester Medical Center, 100 Woods Rd Valhalla, NY 10595, USA

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    ,
    Anthon Fuisz

    Department of Cardiology, New York Medical College/Westchester Medical Center, 100 Woods Rd Valhalla, NY 10595, USA

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    ,
    Marc Y El-Khoury

    Department of Medicine, New York Medical College/Westchester Medical Center, 100 Woods Rd Valhalla, NY 10595, USA

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    ,
    Wilbert Aronow

    Department of Cardiology, New York Medical College/Westchester Medical Center, 100 Woods Rd Valhalla, NY 10595, USA

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    &
    Stephen Pan

    Department of Cardiology, New York Medical College/Westchester Medical Center, 100 Woods Rd Valhalla, NY 10595, USA

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    Published Online:14 Jun 2023https://doi.org/10.2217/fca-2023-0028

    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.

    Papers of special note have been highlighted as: • of interest; •• of considerable interest

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