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[Myocarditis caused by Salmonella typhimurium].
Klinische Wochenschrift
|November 15, 1983
Summary
Salmonella typhimurium infection can cause severe enteritis and shock. This case highlights granulomatous myocarditis and myolysis as potential complications, impacting cardiac function during severe bacterial infections.
Area of Science:
- * Infectious Diseases
- * Cardiology
- * Gastroenterology
Background:
- * Salmonella typhimurium is a common cause of bacterial gastroenteritis.
- * Severe cases can lead to systemic complications, including sepsis and shock.
- * Cardiac involvement in Salmonella infections is rare but can be severe.
Observation:
- * A 53-year-old male presented with acute enteritis due to Salmonella typhimurium, progressing to shock.
- * Electrocardiogram revealed peripheral low voltage and repolarization disturbances.
- * Autopsy showed colonic ulcers and significant cardiac pathology.
Findings:
- * Blood and stool cultures confirmed Salmonella typhimurium infection.
- * Histological examination revealed granulomatous myocarditis with myolysis in the left ventricle.
- * Right ventricle showed minimal interstitial edema.
Implications:
- * This case underscores the potential for Salmonella typhimurium to cause severe systemic illness, including myocarditis.
- * Clinicians should consider cardiac complications in patients with severe Salmonella infections, especially those presenting with shock.
- * Further research into the mechanisms of Salmonella-induced cardiac damage is warranted.