Sundbom Per, Suutari Anne-Marie, Abdulhadi Karim, Broda Wojciech, Csegedi Melinda
Department of Medicine and Geriatrics, Höglandssjukhuset, Eksjö, Sweden.
Department of Medicine and Health Sciences, Linköping University, Linköping, Sweden.
Oxf Med Case Reports. 2018 Nov 26;2018(12):omy106. doi: 10.1093/omcr/omy106. eCollection 2018 Dec.
Myocarditis is mostly caused by viral infections and rarely caused by bacterial pathogens, especially in immunocompetent individuals. Bacterial myocarditis due to is rare, especially in countries with improved sanitation that minimize contamination of serotypes. We here present a case of a previous healthy 22-year-old male that came to the emergency room with chest pain. His symptoms occurred after a period of profuse diarrhea, fever and hematochezia. Magnetic resonance imaging confirmed the diagnosis of myocarditis. Stool culture was positive for . Myocarditis due to Salmonella is rare but may still occur in western countries. The inter-individual response to the pathogens and its virulence mechanisms and male gender is factors for developing myocarditis. We here add to the numbers of cases with myocarditis due to . A higher suspicion and more frequent ECG and troponin testing might result in an increase of patients with subclinical myocarditis.
心肌炎大多由病毒感染引起，很少由细菌病原体引起，尤其是在免疫功能正常的个体中。由……引起的细菌性心肌炎很少见，特别是在卫生条件改善、血清型污染最小化的国家。我们在此报告一例先前健康的22岁男性病例，该患者因胸痛前来急诊室。他的症状出现在一段严重腹泻、发热和便血之后。磁共振成像确诊为心肌炎。粪便培养……呈阳性。沙门氏菌引起的心肌炎很少见，但在西方国家仍可能发生。个体对病原体及其毒力机制的反应以及男性性别是发生心肌炎的因素。我们在此增加了由……引起的心肌炎病例数量。更高的怀疑度以及更频繁的心电图和肌钙蛋白检测可能会导致亚临床心肌炎患者数量增加。
