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Asymptomatic Salmonella Myocarditis: A Case Report of a Rare Entity

Rizwan Ullah1, Suleman Khan1, Aftab Ahmad2

  • 1Internal Medicine, Hayatabad Medical Complex Peshawar, Peshawar, PAK.

Cureus
|March 22, 2024
PubMed

Insights

Enteric fever can rarely cause myocarditis, a heart inflammation. This case highlights the importance of considering cardiac issues in enteric fever patients, even when asymptomatic, for timely diagnosis and treatment.

Area of Science:

  • Cardiology
  • Infectious Diseases
  • Medical Case Reports

Background:

  • Enteric fever, a gastrointestinal infection, is typically associated with digestive symptoms.
  • Cardiovascular complications from enteric fever are rare but can be severe.
  • Myocarditis, or heart inflammation, is an uncommon manifestation of enteric fever.

Observation:

  • A young male patient presented with enteric fever.
  • The patient was diagnosed with asymptomatic myocarditis.
  • Diagnosis was challenging due to the rarity of the condition and required exclusion of other causes.

Findings:

  • Cardiac MRI (CMR) was essential for diagnosing myocarditis.
  • Electrocardiogram (ECG), echocardiograms, and troponin levels supported the diagnosis.
  • The patient fully recovered with standard cardiomyopathy treatment, including ACE inhibitors, beta-blockers, and diuretics.

Implications:

  • This case contributes to the limited literature on enteric fever-related cardiac complications.
  • Clinicians should maintain a high index of suspicion for myocarditis in enteric fever patients.
  • Early diagnosis and treatment of enteric fever-induced myocarditis can lead to complete recovery without lasting cardiac damage.
Keywords:
asymptomatic myocarditiscardiac mricardiovascular complicationsclinician awarenessenteric feverrare case report

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