Chest pain and diarrhea: a case of Campylobacter jejuni-associated myocarditis.
J Emerg Med
; 46(2): 180-3, 2014 Feb.
Article
em En
| MEDLINE
| ID: mdl-24188611
ABSTRACT
BACKGROUND:
Diarrhea and chest pain are common symptoms in patients presenting to the emergency department (ED). However, rarely is a relationship between these two symptoms established in a single patient.OBJECTIVE:
Describe a case of Campylobacter-associated myocarditis. CASE REPORT A 43-year-old man with a history of hypertension presented to the ED with angina-like chest pain and a 3-day history of diarrhea. Electrocardiogram revealed ST-segment elevation in the lateral leads. Coronary angiogram revealed no obstructive coronary artery disease. Troponin T rose to 1.75 ng/mL. Cardiac magnetic resonance imaging showed subepicardial and mid-myocardial enhancement, particularly in the anterolateral wall and interventricular septum, consistent with a diagnosis of myocarditis. Stool studies were positive for Campylobacter jejuni.CONCLUSIONS:
Campylobacter-associated myocarditis is rare, but performing the appropriate initial diagnostic testing, including stool cultures, is critical to making the diagnosis. Identifying the etiology of myocarditis as bacterial will ensure that appropriate treatment with antibiotics occurs in addition to any cardiology medications needed for supportive care.Palavras-chave
Texto completo:
1
Coleções:
01-internacional
Contexto em Saúde:
3_ND
Base de dados:
MEDLINE
Assunto principal:
Dor no Peito
/
Infecções por Campylobacter
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Campylobacter jejuni
/
Diarreia
/
Miocardite
Tipo de estudo:
Prognostic_studies
/
Risk_factors_studies
Limite:
Adult
/
Humans
/
Male
Idioma:
En
Revista:
J Emerg Med
Ano de publicação:
2014
Tipo de documento:
Article