Department of Cardiology & Cardiovascular Surgery, Hamad Medical Corporation, Doha, Qatar.
J Cardiol. 2009 Dec;54(3):475-9. doi: 10.1016/j.jjcc.2009.02.011. Epub 2009 Mar 23.
The mortality and morbidity of salmonella infections is seriously underestimated. Salmonella myocarditis is an unusual complication of salmonella sepsis in adults. Cases that do occur may be associated with high morbidity and mortality. We present a rare case of salmonella myocarditis with multi-organ failure in a previously healthy young adult man who was brought to the emergency room with fever, diarrhea, shortness of breath, and altered sensorium, discovered to have acute pulmonary edema and respiratory compromise for which he was assisted with mechanical ventilation for 8 days. Blood culture grew Salmonella typhi. Biochemically he exhibited myocardial, hepatic, and muscular enzymatic surge with renal failure, features of rhabdomyolysis, and disseminated intravascular coagulation. The patient showed a progressive improvement on treatment with ceftriaxone for 2 weeks in addition to decongestive therapy. He was discharged in good condition afterward.
沙门氏菌感染的死亡率和发病率被严重低估。沙门氏菌性心肌炎是成人沙门氏菌败血症的一种罕见并发症。发生的病例可能与高发病率和死亡率有关。我们报告了一例罕见的沙门氏菌性心肌炎合并多器官衰竭的病例，患者为既往健康的年轻男性，因发热、腹泻、呼吸急促和意识改变而被送往急诊室，被发现患有急性肺水肿和呼吸窘迫，需要机械通气辅助 8 天。血培养发现伤寒沙门氏菌。生化检查显示心肌、肝和肌肉酶谱升高，伴有肾衰竭、横纹肌溶解和弥散性血管内凝血的特征。患者在接受头孢曲松治疗 2 周以及利尿治疗后，病情逐渐改善。随后，他恢复良好出院。
