Acute myocarditis secondary to Campylobacter jejuni enterocolitis

Summary Myocarditis is a rare condition that can mimic an acute coronary syndrome (ACS). We present the case of a 24-year-old male with Noonan syndrome who presented with a diarrhoeal pro-dromal illness, acute onset chest pain, elevated cardiac biomarkers and an abnormal ECG with ST elevation in the...

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Bibliographic Details
Published in:Resuscitation 2008-10, Vol.79 (1), p.165-167
Main Authors: Turley, A.J, Crilley, J.G, Hall, J.A
Format: Article
Language:English
Subjects:
Acute Disease
Adrenergic beta-Antagonists - therapeutic use
Adult
Anesthesia. Intensive care medicine. Transfusions. Cell therapy and gene therapy
Angiotensin-Converting Enzyme Inhibitors - therapeutic use
Anti-Bacterial Agents - therapeutic use
Biological and medical sciences
Campylobacter Infections - complications
Campylobacter Infections - drug therapy
Campylobacter Infections - microbiology
Campylobacter jejuni
Campylobacter jejuni - isolation & purification
Cardiology. Vascular system
Coronary heart disease
Drug Therapy, Combination
Electrocardiography
Emergency
Enterocolitis
Enterocolitis - complications
Enterocolitis - drug therapy
Enterocolitis - microbiology
Erythromycin - therapeutic use
Heart
Humans
Intensive care medicine
Magnetic Resonance Imaging
Male
Medical sciences
Myocardial infarction
Myocarditis
Myocarditis - drug therapy
Myocarditis - microbiology
Prognosis
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Summary:Summary Myocarditis is a rare condition that can mimic an acute coronary syndrome (ACS). We present the case of a 24-year-old male with Noonan syndrome who presented with a diarrhoeal pro-dromal illness, acute onset chest pain, elevated cardiac biomarkers and an abnormal ECG with ST elevation in the absence of obstructive coronary artery disease. The patient had acute myocarditis secondary to Campylobacter jejuni enterocolitis. Infective myocarditis is most commonly due to a viral infection. Myocarditis is very rarely due to a bacterial infection with only isolated reports of myocarditis induced by Campylobacter jejuni infection. At follow-up he remains well. Myocarditis should be considered in all patients presenting with acute onset chest pain and elevated cardiac biomarkers.
ISSN:0300-9572
1873-1570
DOI:10.1016/j.resuscitation.2008.04.021