Mokhobo K P
S Afr Med J. 1975 Jan 11;49(2):55-6.
Three cases of typhoid cardiac complications are reported. Salmonella typhi was the aetiological agent in all three; The discovery of 3 patients over a period of 18 months merits special interest, especially since typhoid fever is endemic in the area concerned. The significance of the complication reported here is further enhanced by absence of similar specific cases in the English literature dealing with cardiac salmonellosis. One of the cases described in this article, the only fatality of the series, developed a rhythm disturbance identical with that of a patient whose myocardial abscess was due to Salmonella typhimurium. The rarity of typhoid cardiac complications may be deceptive; The septicaemic disturbance may mask it and one must note that cardiac salmonellosis is reported from developed countries, where typhoid fever is a rarity.
报告了3例伤寒心脏并发症。3例的病原体均为伤寒沙门氏菌；在18个月内发现3例患者值得特别关注，尤其是因为伤寒热在相关地区为地方病。鉴于英文文献中关于心脏沙门氏菌病的报道中没有类似的具体病例，本文所报告并发症的重要性进一步凸显。本文所述病例之一是该系列中唯一的死亡病例，其出现的心律失常与一名因鼠伤寒沙门氏菌导致心肌脓肿的患者相同。伤寒心脏并发症的罕见性可能具有欺骗性；败血症性紊乱可能掩盖它，而且必须注意到，在伤寒热罕见的发达国家也有心脏沙门氏菌病的报告。
