Myocarditis in a patient with salmonella and campylobacter enteritis.
Myocarditis associated with bacterial enteritis has only rarely been described and the pathogenesis is unclear. Herein we report a case where a young adult developed myocarditis during the acute stage of an infection with Salmonella heidelberg and Campylobacter jejunii/coli. The patient's troponin I value was elevated. We suggest that use of cardiac-sensitive troponins may be a useful tool for diagnosis of acute myocarditis in the context of bacterial enteritis. We also suggest the need for further investigation of the pathogenesis of myocarditis associated with enteric pathogens.
Wanby
P
P
Department of Internal Medicine, Kalmar County Hospital, Sweden. wanby@telia.com
Olsen
B
B
D000328:Adult; D015415:Biomarkers / Q000097:blood; D002169:Campylobacter Infections / Q000150:complications*; D016123:Campylobacter jejuni / Q000302:isolation & purification*; D004751:Enteritis / Q000150:complications* / Q000382:microbiology; D006801:Humans; D008297:Male; D009205:Myocarditis / Q000097:blood / Q000175:diagnosis / Q000382:microbiology*; D012475:Salmonella / Q000302:isolation & purification*; D012480:Salmonella Infections / Q000150:complications*; D019210:Troponin I / Q000097:blood*
D015415:Biomarkers; D019210:Troponin I