Instructive CasesPneumococcal Pneumonia Resembling Acute Myocardial Infarction in an Adolescent MaleChiong, Yee Keow MRCPCH*; Tan, Ian MBBS*; Lim, Terence CW MMed, MRCPCH*; Thong, Wen Yi MRCPCH, MMed*; Chan, Mark Y MHS, MMED, MRCP, PhD†; Chan, Si Min MRCPCH, PGDip*,‡Author Information From the *Khoo Teck Puat National University Children’s Medical Institute, National University Health System, Singapore †Department of Cardiology, National University Hospital, Singapore ‡Department of Paediatrics, Yong Loo Lin School of Medicine, National University of Singapore, Singapore. Accepted for publication October 14, 2019. The authors have no funding or conflicts of interest to disclose. Address for correspondence: Si Min Chan, MRCPCH, PGDip, Department of Paediatrics, National University Health System, 1E Kent Ridge Road, NUHS Tower Block Level 12, Singapore 119228. E-mail: email@example.com. The Pediatric Infectious Disease Journal: January 2020 - Volume 39 - Issue 1 - p 81-84 doi: 10.1097/INF.0000000000002527 Buy Metrics Abstract Myocarditis is commonly associated with viruses. However, we present a novel case of a teenager with pneumococcal pneumonia and bacteremia complicated by myocarditis and rhabdomyolysis, presenting with features of acute ST-elevation myocardial infarction and cardiogenic shock. Physicians should be aware that Streptococcus pneumoniae infection, like Group A Streptococcus, can mimic acute myocardial infarction in young males without cardiovascular risk factors. Copyright © 2020 Wolters Kluwer Health, Inc. All rights reserved.