Key result
Ciprofloxacin, aspirin, and ramipril rapidly improve a case of Salmonella-related myocarditis mimicking ACS.
Case Report (n=1)
Highlights a rare case of Salmonella enteritis-associated myocarditis mimicking acute coronary syndrome that resolved with targeted antibiotic and cardiac therapy.
May prompt infectious myocarditis evaluation in ACS mimics with enteritis; single case leaves optimal therapy undetermined.
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.
No takes yet. Share an insight, caveat, or question.
Rossetti et al. (2009) conducted a case report in Myocarditis mimicking acute coronary syndrome related to Salmonella enteritis (n=1). Ciprofloxacin, acetylsalicylate acid, and ramipril was evaluated on Clinical improvement and normalization of cardiac abnormalities. Treatment with ciprofloxacin, acetylsalicylate acid, and ramipril led to rapid clinical improvement in a patient with Salmonella enteritis-related myocarditis mimicking acute coronary syndrome.
Synapse has enriched 5 closely related papers on similar clinical questions. Consider them for comparative context: