1.
Pan Afr Med J
; 46: 58, 2023.
Article
in English
| MEDLINE
| ID: mdl-38223872
ABSTRACT
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.
Subject(s)
Erysipelas , ST Elevation Myocardial Infarction , Sepsis , Humans , Female , Middle Aged , Head Protective Devices , ST Elevation Myocardial Infarction/diagnosis , Electrocardiography , Sepsis/diagnosis
2.
Tunis Med
; 98(4): 258-260, 2020 04.
Article
in English
| MEDLINE
| ID: mdl-32395787