Wanby P, Olsen B
Department of Internal Medicine, Kalmar County Hospital, Sweden.
Scand J Infect Dis. 2001;33(11):860-2. doi: 10.1080/003655401753186213.
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.
与细菌性肠炎相关的心肌炎鲜有报道，其发病机制尚不清楚。在此，我们报告一例年轻成人在感染海德堡沙门氏菌和空肠弯曲菌/结肠弯曲菌的急性期发生心肌炎的病例。患者的肌钙蛋白I值升高。我们认为，在细菌性肠炎的背景下，使用对心脏敏感的肌钙蛋白可能是诊断急性心肌炎的有用工具。我们还建议进一步研究与肠道病原体相关心肌炎的发病机制。
