Zouganeli Virginia, Kourek Christos, Bistola Vasiliki, Mademli Maria, Grigoropoulos Ioannis, Thomas Konstantinos, Tsiodras Sotirios, Filippatos Gerasimos, Farmakis Dimitrios
Department of Cardiology, Athens University Hospital Attikon, National and Kapodistrian University of Athens Medical School, 124 62 Athens, Greece.
Department of Cardiology, 417 Army Share Fund Hospital of Athens (NIMTS), 115 21 Athens, Greece.
J Clin Med. 2024 Dec 11;13(24):7551. doi: 10.3390/jcm13247551.
, a common cause of gastroenteritis worldwide, has also been associated with rare extraintestinal infections, including myocarditis. We report a unique case of a 24-year-old male who presented with febrile diarrhea and acute chest pain. Diagnostic investigations revealed elevated cardiac troponin levels, normal electrocardiography findings, and myocardial inflammation on cardiac magnetic resonance imaging, confirming the diagnosis of acute myocarditis. Stool cultures identified as the causative agent. The patient was managed with supportive care, including hydration and electrolyte replacement, and a three-day course of azithromycin (500 mg daily). He achieved a full recovery and was discharged after eight days, with subsequent follow-up demonstrating the complete resolution of myocardial dysfunction. This case emphasizes the need to consider -related myocarditis in the differential diagnosis of young patients presenting with chest pain and diarrhea, along with an overview of its diagnostic and therapeutic challenges.
作为全球肠胃炎的常见病因,也与包括心肌炎在内的罕见肠外感染有关。我们报告了一例独特病例,一名24岁男性出现发热性腹泻和急性胸痛。诊断性检查显示心肌肌钙蛋白水平升高、心电图结果正常以及心脏磁共振成像显示心肌炎症,确诊为急性心肌炎。粪便培养确定 为病原体。患者接受了支持性治疗,包括补液和电解质补充,以及为期三天的阿奇霉素疗程(每日500毫克)。他完全康复,八天后出院,随后的随访显示心肌功能障碍完全消退。该病例强调在对出现胸痛和腹泻的年轻患者进行鉴别诊断时需要考虑与 相关的心肌炎,以及其诊断和治疗挑战的概述。 (原文中部分关键信息缺失,用“ ”代替)