Cardiovascular Magnetic Resonance Imaging Pattern in Campylobacter jejuni-related Myocarditis
Nabil Belfeki1, Souheil Zayet2, Mohannad Yassin3
1Department of Internal Medicine, Groupe Hospitalier Sud Ile de France, 77000 Melun, France.
Insights
Campylobacter jejuni (C. jejuni) infection can rarely cause myocarditis, a heart inflammation. Early diagnosis using cardiac MRI in young patients with chest pain is crucial for favorable outcomes.
Area of Science:
- Infectious Diseases
- Cardiology
Background:
- Campylobacter jejuni (C. jejuni) is a frequent cause of enterocolitis.
- Myocarditis is a rare but documented complication of campylobacteriosis, primarily affecting young males.
Observation:
- A case of myocarditis complicating gastroenteritis in a 23-year-old immunocompetent patient is presented.
- The patient was infected with C. jejuni.
Findings:
- Cardiac magnetic resonance imaging (CMR) aided in the early diagnosis of myocarditis.
- The patient experienced a favorable outcome.
Implications:
- Myocarditis should be considered in young patients presenting with chest pain and elevated troponin.
- This case highlights the importance of considering C. jejuni as a potential cause of post-infectious myocarditis.
Background:
Campylobacter jejuni (C. jejuni) is a common cause of mostly self-limiting enterocolitis. Although rare, myocarditis has been increasingly documented as a complication following campylobacteriosis. Such cases have occurred predominantly in younger males and involved a single causative species, namely C. jejuni.
Case Report:
We report herein a case of myocarditis complicating gastroenteritis in a 23-year-old immunocompetent patient, caused by this bacterium with a favorable outcome. Cardiac magnetic resonance imagining was useful in establishing an early diagnosis.
Conclusions:
Myocarditis should be considered in younger patients presenting with chest pain and plasmatic troponin elevations. The occurrence of myocarditis complicating C. jejuni is reviewed.
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