Key result
Targeted antibiotics, drainage, and surgery resolve salmonellosis-induced coronary aneurysm, MI, and constrictive pericarditis.
Why the study?
Salmonellosis usually runs a benign course, but some patients develop extra-intestinal complications that can have long-term cardiac implications.
Case Report (n=1)
Salmonellosis can rarely cause severe cardiac complications such as infected coronary artery aneurysm and constrictive pericarditis, requiring prompt diagnosis and multidisciplinary treatment.
Salmonella infection may precipitate MI and constrictive pericarditis in IHD patients; this case leaves open the incidence and need for targeted cardiac evaluation.
Background: Salmonellosis is a common bacterial disease that usually runs a benign course and most patients recover without specific treatment. However, some develop extra-intestinal complications which can have long-term cardiac implications. Case summary: A 46-year-old man with known ischaemic heart disease presented with fever. The case which was thought to be a viral infection soon developed myocardial infarction, pericardial effusion, and subsequent constrictive pericarditis as a result of salmonellosis. He recovered after targeted antibiotics, repeated pericardial drainage, and surgical interventions. Discussion: This rare case of salmonellosis with infected coronary artery aneurysm and pericarditis emphasizes the importance of history taking, especially food intake in patients with unexplained fever. High index of suspicion is needed and multi-modality serial imaging should be used for early diagnosis and prompt treatment.
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Chiu et al. (2025) conducted a case report in Salmonellosis-related coronary aneurysm, myocardial infarction, and constrictive pericarditis (n=1). Targeted antibiotics, repeated pericardial drainage, and surgical interventions was evaluated on Recovery. A 46-year-old man with salmonellosis developed a coronary artery aneurysm, myocardial infarction, and constrictive pericarditis, but recovered after targeted antibiotics, drainage, and surgery.
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