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Cholera and myocarditis--a case report

F Leon1, E Badui, A Campos

  • 1Hospital de Especialidades, Centro Medico la Raza, Instituto Mexicano del Seguro Social, D.F.

Angiology
|June 1, 1997
PubMed
Summary
This summary is machine-generated.

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This case study details a rare instance of cholera-induced myocarditis in a patient experiencing severe enterocolitis. The patient developed significant cardiac conduction disturbances, requiring pacemaker insertion and highlighting a critical, often overlooked, complication of enteric infections.

Area of Science:

  • Cardiology
  • Infectious Diseases
  • Gastroenterology

Background:

  • Enterocolitis can lead to severe systemic complications.
  • Cardiac involvement following enteric infections is rare but serious.

Observation:

  • A 59-year-old man developed acute enterocolitis with severe diarrhea, vomiting, and hypovolemia.
  • Following recovery from initial symptoms, he experienced significant cardiac conduction abnormalities, including trifascicular block and bradycardia.

Findings:

  • Endomyocardial biopsy confirmed myocarditis with positive polymerase chain reaction (PCR) for antitoxin cholera antibodies (AcTCA).
  • The patient required temporary and later permanent pacemaker insertion due to persistent conduction disturbances.

Implications:

Related Experiment Videos

  • This case underscores the potential for cholera to cause severe myocarditis and cardiac conduction abnormalities.
  • Early recognition and management of cardiac complications are crucial in patients with severe enteric diseases.