The spiked helmet sign in a patient with erysipelas: an alarming electrocardiogram sign (a case report).
- Resource Type
- Case Study
- Authors
- Fall, Salihou; Farhat, Sameh Ben; Chelly, Ahmed; Kaddour, Hella; Saad, Saeb Ben; El Hedi, Ahmed Mohamed; Slim, Mehdi; Thabet, Houssem; Ouannes, Sami; Gribaa, Rym; Elhraiech, Aymen; Elyes, Neffati
- Source
- Pan African Medical Journal. Sep-Dec2023, Vol. 46, p1-7. 7p.
- Subject
- *ST elevation myocardial infarction
*HYPOKALEMIA
*HELMETS
*MYOCARDIAL infarction
*ELECTROCARDIOGRAPHY
*ISCHEMIC stroke
*HOSPITAL admission & discharge
- Language
- ISSN
- 1937-8688
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. [ABSTRACT FROM AUTHOR]