Cardiac involvement due to Salmonella typhi infections in children

K Baysal1, R Sancak, F Ozturk

  • 1Department of Pediatrics, Ondokuz Mayis University School of Medicine, Samsun, Turkey.

Insights

Salmonella typhi infections can cause serious cardiac issues like myocarditis and pericarditis. This study highlights three pediatric cases, emphasizing the importance of recognizing and managing these rare but severe complications.

Area of Science:

  • Pediatrics
  • Infectious Diseases
  • Cardiology

Background:

  • Salmonella typhi is a significant cause of enteric fever globally.
  • Cardiac complications of typhoid fever are uncommon but can be severe.
  • This study focuses on pediatric patients with Salmonella typhi infections.

Observation:

  • A 14-year retrospective study evaluated 66 patients with Salmonella typhi infections.
  • Cardiac involvement was identified in three pediatric cases.
  • Manifestations included isolated myocarditis and combined myocarditis with pericarditis.

Findings:

  • Three pediatric cases of Salmonella typhi-induced myocarditis are presented.
  • Two of these cases also involved pericarditis.
  • Treatment included antibiotics, pericardiocentesis, and pericardiectomy.

Implications:

  • Salmonella typhi infections warrant careful cardiac monitoring in pediatric patients.
  • Early recognition and appropriate management of cardiac involvement are crucial.
  • These findings contribute to understanding the spectrum of Salmonella typhi complications.

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