title: Typhoid fever, complicated by myocarditis, in a traveller returning to the UK.
abstract: A 25-year-old male returning traveller presented with sudden onset chest pain. An ECG showed infero-lateral ischaemic changes, with an elevated troponin and inflammatory markers. An echocardiogram showed a normal size left ventricle, dynamic systolic function, structurally normal valves and no regional wall motion abnormality. Angiography revealed normal coronary arteries. A diagnosis of myocarditis was made. Five days later, he developed a significant pyrexia and diarrhoea. Salmonella typhi was isolated from blood cultures. The fever and symptoms resolved after 2 weeks of an intravenous third generation cephalosporin and the patient was discharged.
authors: Department of Cardiology,  Hillingdon Hospital, Uxbridge, Middlesex,  UK.
authors: Shreena
authors: S
authors: Shah
authors: Simon William
authors: SW
authors: Dubrey
mesh_terms: D000328:Adult; D003937:Diagnosis, Differential; D004452:Echocardiography; D004562:Electrocardiography; D006801:Humans; D008297:Male; D009205:Myocarditis / Q000175:diagnosis / Q000208:ethnology / Q000209:etiology*; D010154:Pakistan / Q000208:ethnology; D012485:Salmonella typhi / Q000302:isolation & purification; D014195:Travel; D014435:Typhoid Fever / Q000150:complications* / Q000175:diagnosis / Q000208:ethnology; D006113:United Kingdom / Q000453:epidemiology