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Cardiac involvement due to Salmonella typhi infections in children
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.
Abstract:
Sixty-six patients with Salmonella typhi infections were evaluated in terms of cardiological events in the Department of Pediatrics of Ondokuz Mayis University Hospital for a period of 14 years. Cardiac involvement is described in three cases of typhoid fever during that time. One patient had myocarditis only but another two cases had myocarditis and pericarditis. In addition to antibiotic therapy, pericardiocentesis and pericardiectomy were used. We present three cases of myocarditis caused by Salmonella typhi infections.
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