Theler-Ballmer D, Noseda G, Reiner M, Keller H
Schweiz Med Wochenschr. 1980 Sep 27;110(39):1394-1401.
Possible cardiac involvement has been investigated in 103 cases of salmonellosis. 12 patients showed pathological clinical, laboratory and ECG findings suggesting heart damage during the course of the infectious disease. In 2 cases acute fibrinous pericarditis was diagnosed, in 1 case acute effusive pericarditis and in 1 patient acute peri-myocarditis. In the remaining 8 patients the pathological findings suggested the presence of myocarditis. The heart involvement may be the predominating clinical sign, as shown in 3 out of our cases, but in the majority the cardiac symptoms are only very slight. These data indicate that heart involvement is less rare in salmonellosis than is generally thought. On the other hand, salmonellosis should be considered in cases of peri- or myocarditis of unknown origin.
对103例沙门氏菌病患者可能存在的心脏受累情况进行了调查。12例患者在感染性疾病过程中出现了提示心脏损害的病理临床、实验室及心电图表现。2例诊断为急性纤维素性心包炎，1例为急性渗出性心包炎，1例为急性心包心肌炎。其余8例患者的病理表现提示存在心肌炎。心脏受累可能是主要临床体征，如我们的3例病例所示，但大多数情况下心脏症状非常轻微。这些数据表明，沙门氏菌病中心脏受累的情况比一般认为的更为常见。另一方面，对于不明原因的心包炎或心肌炎病例，应考虑到沙门氏菌病。
