Salmonella enteritidis causing myocarditis in a previously healthy 22-year-old male

Per Sundbom1,2, Anne-Marie Suutari1, Karim Abdulhadi1

  • 1Department of Medicine and Geriatrics, Höglandssjukhuset, Eksjö, Sweden.

Oxford Medical Case Reports
|November 30, 2018
PubMed

Insights

Bacterial myocarditis from Salmonella is rare, particularly in developed nations. This case highlights Salmonella enteritidis as a potential cause of myocarditis in young, healthy males, even with improved sanitation.

Area of Science:

  • Infectious Diseases
  • Cardiology

Background:

  • Myocarditis is typically viral, with bacterial causes rare, especially in immunocompetent individuals.
  • Improved sanitation reduces the incidence of Salmonella Typhi, making other Salmonella serotypes a less common cause of bacterial myocarditis.

Observation:

  • A 22-year-old male presented with chest pain, preceded by diarrhea, fever, and hematochezia.
  • Diagnosis of myocarditis was confirmed via MRI; stool culture identified Salmonella enteritidis.

Findings:

  • This case adds to the limited number of documented instances of myocarditis caused by Salmonella enteritidis.
  • Factors such as individual response to pathogen virulence and male gender may predispose individuals to developing myocarditis.

Implications:

  • Salmonella enteritidis should be considered in the differential diagnosis of myocarditis, even in western countries.
  • Increased clinical suspicion and routine ECG and troponin testing could identify more cases of subclinical myocarditis.

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