Myocarditis Mimicking an Acute Coronary Syndrome: A Case Related to Salmonella enteritis

Infective myocarditis is most commonly due to a viral infection; occasionally it has been related to bacteria. Gastrointestinal infections associated with myocarditis have only rarely been described in young people, and the pathogenesis is unclear. We report a case of myocarditis mimicking an acute...

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Main Authors: B. Rossetti, G. Nguisseu, A. Buracci, L. Migliorini, G. Zanelli
Format: Article
Language:English
Published: Wiley 2009-01-01
Series:Gastroenterology Research and Practice
Online Access:http://dx.doi.org/10.1155/2009/931853
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author B. Rossetti
G. Nguisseu
A. Buracci
L. Migliorini
G. Zanelli
author_facet B. Rossetti
G. Nguisseu
A. Buracci
L. Migliorini
G. Zanelli
author_sort B. Rossetti
collection DOAJ
description Infective myocarditis is most commonly due to a viral infection; occasionally it has been related to bacteria. Gastrointestinal infections associated with myocarditis have only rarely been described in young people, and the pathogenesis is unclear. We report a case of myocarditis mimicking an acute coronary syndrome (ACS) in a patient hospitalized for fever and diarrhoea. Salmonella enteritidis was isolated from stool, and no other pathogens were found. The coronary angiography was normal, and there were not other coronary artery risk factors, other than hypertension. The patient was treated with ciprofloxacin, acetylsalicylate acid, and ramipril with rapid clinical improvement and normalization of cardiac abnormalities. Final diagnosis of Salmonella enteritis and related myocarditis was made based on clinical, laboratory, ECG and echocardiographical findings.
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spelling doaj-art-9de3d4181769432c8c9e8e37cf546e2c2025-08-20T02:20:29ZengWileyGastroenterology Research and Practice1687-61211687-630X2009-01-01200910.1155/2009/931853931853Myocarditis Mimicking an Acute Coronary Syndrome: A Case Related to Salmonella enteritisB. Rossetti0G. Nguisseu1A. Buracci2L. Migliorini3G. Zanelli4Department of Molecular Biology, Infectious Diseases Clinic, Siena University, 53100 Siena, ItalyDepartment of Molecular Biology, Infectious Diseases Clinic, Siena University, 53100 Siena, ItalyDepartment of Molecular Biology, Infectious Diseases Clinic, Siena University, 53100 Siena, ItalyDepartment of Molecular Biology, Infectious Diseases Clinic, Siena University, 53100 Siena, ItalyDepartment of Molecular Biology, Infectious Diseases Clinic, Siena University, 53100 Siena, ItalyInfective myocarditis is most commonly due to a viral infection; occasionally it has been related to bacteria. Gastrointestinal infections associated with myocarditis have only rarely been described in young people, and the pathogenesis is unclear. We report a case of myocarditis mimicking an acute coronary syndrome (ACS) in a patient hospitalized for fever and diarrhoea. Salmonella enteritidis was isolated from stool, and no other pathogens were found. The coronary angiography was normal, and there were not other coronary artery risk factors, other than hypertension. The patient was treated with ciprofloxacin, acetylsalicylate acid, and ramipril with rapid clinical improvement and normalization of cardiac abnormalities. Final diagnosis of Salmonella enteritis and related myocarditis was made based on clinical, laboratory, ECG and echocardiographical findings.http://dx.doi.org/10.1155/2009/931853
spellingShingle B. Rossetti
G. Nguisseu
A. Buracci
L. Migliorini
G. Zanelli
Myocarditis Mimicking an Acute Coronary Syndrome: A Case Related to Salmonella enteritis
Gastroenterology Research and Practice
title Myocarditis Mimicking an Acute Coronary Syndrome: A Case Related to Salmonella enteritis
title_full Myocarditis Mimicking an Acute Coronary Syndrome: A Case Related to Salmonella enteritis
title_fullStr Myocarditis Mimicking an Acute Coronary Syndrome: A Case Related to Salmonella enteritis
title_full_unstemmed Myocarditis Mimicking an Acute Coronary Syndrome: A Case Related to Salmonella enteritis
title_short Myocarditis Mimicking an Acute Coronary Syndrome: A Case Related to Salmonella enteritis
title_sort myocarditis mimicking an acute coronary syndrome a case related to salmonella enteritis
url http://dx.doi.org/10.1155/2009/931853
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AT lmigliorini myocarditismimickinganacutecoronarysyndromeacaserelatedtosalmonellaenteritis
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