[Myocarditis caused by Salmonella typhimurium].
A 53-year-old man died on the eight day of an acute enteritis caused by Salmonella typhimurium. Clinical signs of shock were pronounced; the electrocardiogram, initially not pathological, showed a peripheral low voltage with decreased R-amplitudes and distinct disturbances in repolarization. Laboratory findings demonstrating Salmonella typhimurium in blood cultures and stools and 45% band forms in the differential count were remarkable. The autopsy showed deep, fibrin-covered ulcera in the colon area and a dense submucous lympho-histiocyte cell infiltration. Histologically, a granulomatous myocarditis of the left ventricle with lymphocyte and histiocyte infiltration and a focal myolysis was observed. In the right ventricle, however, only a minimal interstitial edema was found.
D006332:Cardiomegaly / Q000209:etiology; D003681:Dehydration / Q000209:etiology; D004751:Enteritis / Q000209:etiology; D006801:Humans; D007022:Hypotension / Q000209:etiology; D008103:Liver Cirrhosis / Q000150:complications; D008297:Male; D008875:Middle Aged; D009205:Myocarditis / Q000209:etiology* / Q000382:microbiology; D012480:Salmonella Infections; D012486:Salmonella typhimurium / Q000302:isolation & purification; D012772:Shock, Septic / Q000209:etiology
Myokarditis durch Salmonella typhi murium.