%0 Case Reports
%T The spiked helmet sign in a patient with erysipelas: an alarming electrocardiogram sign (a case report).
%A Fall S
%A Farhat SB
%A Chelly A
%A Kaddour H
%A Saad SB
%A El Hedi AM
%A Slim M
%A Thabet H
%A Ouannes S
%A Gribaa R
%A Elhraiech A
%A Elyes N
%J Pan Afr Med J
%V 46
%N 0
%D 2023
%M 38223872
暂无%R 10.11604/pamj.2023.46.58.40438
%X 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.