Salihou Fall, Sameh Ben Farhat, Ahmed Chelly, Hella Kaddour, Saeb Ben Saad, Ahmed Mohamed El Hedi, Mehdi Slim, Houssem Thabet, Sami Ouannes, Rym Gribaa, Aymen Elhraiech, Neffati Elyes
{"title":"The spiked helmet sign in a patient with erysipelas: an alarming electrocardiogram sign: a case report","authors":"Salihou Fall, Sameh Ben Farhat, Ahmed Chelly, Hella Kaddour, Saeb Ben Saad, Ahmed Mohamed El Hedi, Mehdi Slim, Houssem Thabet, Sami Ouannes, Rym Gribaa, Aymen Elhraiech, Neffati Elyes","doi":"10.11604/pamj.2023.46.58.40438","DOIUrl":null,"url":null,"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 patients sepsis and electrolyte disturbance, she had a favorable outcome.","PeriodicalId":131455,"journal":{"name":"The Pan African Medical Journal","volume":"16 1","pages":"0"},"PeriodicalIF":0.0000,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":null,"platform":"Semanticscholar","paperid":null,"PeriodicalName":"The Pan African Medical Journal","FirstCategoryId":"1085","ListUrlMain":"https://doi.org/10.11604/pamj.2023.46.58.40438","RegionNum":0,"RegionCategory":null,"ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"","JCRName":"","Score":null,"Total":0}
引用次数: 0
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 patients sepsis and electrolyte disturbance, she had a favorable outcome.
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