{Reference Type}: Case Reports
{Title}: The spiked helmet sign in a patient with erysipelas: an alarming electrocardiogram sign (a case report).
{Author}: Fall S;Farhat SB;Chelly A;Kaddour H;Saad SB;El Hedi AM;Slim M;Thabet H;Ouannes S;Gribaa R;Elhraiech A;Elyes N;
{Journal}: Pan Afr Med J
{Volume}: 46
{Issue}: 0
{Year}: 2023
暂无{DOI}: 10.11604/pamj.2023.46.58.40438
{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.