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Published on: December 8, 2014
Take traveller's diarrhoea to heart.
Vicente Mera1, Teresa López, Josefa Serralta
1Clínica Benidorm, Internal Medicine, Av Alfonso Puchades, 8, 03500 Benidorm, Alicante, Spain. v.mera@telefonica.net
Post-infectious complications of traveller's diarrhoea can be serious. A case report highlights Campylobacter jejunii causing myocarditis, mimicking heart attack symptoms.
Area of Science:
- Infectious Diseases
- Cardiology
- Gastroenterology
Background:
- Traveller's diarrhoea is a frequent health concern globally.
- Post-infectious sequelae of traveller's diarrhoea require recognition.
Observation:
- A 43-year-old English traveller presented with chest pain in Spain.
- Symptoms included preceding fever and severe diarrhoea.
- Electrocardiogram and cardiac enzyme abnormalities were noted.
Findings:
- Coproculture identified Campylobacter jejunii as the causative agent.
- The patient's condition mimicked acute myocardial infarction.
- Acute myocarditis was diagnosed as an exceptional complication.
Implications:
- Gastroenteritis can lead to cardiac complications, including myocarditis.
- This highlights the importance of considering infectious causes in cardiac emergencies.
- Early recognition of infectious-triggered myocarditis is crucial for appropriate management.
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