Akut Koroner Sendrom Kliniği ile Prezente Olan Salmonella Enteritine Bağlı Gelişen Miyokardit Olgusu
Öz
ÖZET
Enfektif miyokardit bazen bakterilerle ilişkilendirilse de en yaygın olarak viral bir enfeksiyon kaynaklı olarak görülmektedir. Gastrointestinal enfeksiyonlarla ilişkili miyokardit nadir görülebilinen ve patogenezi net olarak tanımlanamamıştır.
Şikâyetleri ateş, ishal ve göğüs ağrısı olan hastada akut koroner sendromu taklit eden bir miyokardit olgusunu sunuyoruz. Koroner arter risk faktörleri olmayan hastanın koroner anjiyografi ve ekokardiyografi (EKO) sonuçları normaldi. Gaita kültüründe Non-Tifoidal Salmonella (NTS) üredi ve başka hiçbir patojen bulunmadı. Miyokardit tanısı; gaita kültüründe bulunan NTS, miyokardit kliniği, laboratuvar, elektrokardiyografi (EKG) ve EKO bulgularına göre yapılmıştır. Hastaya verilen Asetilsalisilik asit, Metoprolol, Seftriakson tedavisi sonrasında hasta kliniğinde hızlı düzelme görüldü
Anahtar Kelimeler
Destekleyen Kurum
Yoktur
Proje Numarası
Yoktur
Teşekkür
yoktur
Kaynakça
- Gordon MA. Salmonella infections in immunocompromised adults. J Infect2008;56:413-22.
- Trachtenberg BH, Hare JM. Inflammatory Cardiomyopathic Syndromes. Circ Res. 2017 Sep 15;121(7):803–18.6
- Caforio AL, Pankuweit S, Arbustini E, et al. Current state of knowledge on aetiology, diagnosis, management, and therapy of myocarditis: a position statement of the European Society of Cardiology Working Group on Myocardial and Pericardial Diseases. Eur Heart J. 2013 Sep;34(33):2636-48.
- Elamm C, FairweatherD, Cooper LT. Pathogenesis and diagnosis of myocarditis. Heart 2012; 98:835–40.
- Cooper LT. Myocarditis. New Engl J Med 2009;360:1526–38.
- Haddad F, Berry G, Doyle RL, Martineau P, et al. Active bacterial myocarditis: a case report and review of the literature. J Heart Lung Transplant 2007; 26: 745-749
- Villablanca P, Mohananey D, Meier G, et al. Salmonella Berta myocarditis: Case report and systematic review of non-typhoid Salmonella myocarditis. World J Cardiol. 2015 Dec 26;7(12):931-7. doi: 10.4330/wjc.v7.i12.931.
- Ukena C, Mahfoud F, Kindermann I, et al. Prognostic electrocardiographic parameters in patients with suspected myocarditis. European journal of heart failure. 2011 Apr;13(4):398–405
- Theler-Ballmer D, Noseda G, Reiner M, et al.. Perikarditis und Myokarditis bei Salmonellen-Erkrankungen [Pericarditis and myocarditis in salmonellosis]. Schweiz Med Wochenschr. 1980 Sep 27;110(39):1394-1401. German. PMID: 7280587.
- Schultz JC, Hilliard AA, Cooper LT, et al. Diagnosis and treatment of viral myocarditis. Mayo Clin Proc 2009; 84: 1001-1009 [PMID: 19880690 DOI: 10.1016/-S0025-6196(11)6067 0-8]
- Yelgec NS, Dymarkowski S, Ganame J, et al. Value of MRI in patients with a clinical suspicion of acute myocarditis. European Radiology. 2007;17(9):2211–2217
A Case of Myocarditis Related to Salmonella Enteritis Presenting with Acute Coronary Syndrome Clinic
Öz
Although infective myocarditis is sometimes associated with bacteria, it is most commonly caused by a viral infection. Myocarditis associated with gastrointestinal infections is rare and its pathogenesis has not been clearly defined.
We present a case, which have complaints of fever, diarrhea and chest pain of myocarditis mimicking acute coronary syndrome. of the patient who did not have coronary artery risk factors were result normal Coronary angiography and echocardiography (ECHO). in stool culture was positive for Non-Typhoidal Salmonella (NTS) and no other pathogens were found. Myocarditis was diagnosed as a result of the detection of NTS in the stool culture, compatible clinical situation, laboratory, ECG and ECHO findings. After the Acetylsalicylic acid, Metoprolol, Ceftriaxone treatment given to the patient, rapid improvement was observed in the patient's clinic.
Anahtar Kelimeler
Proje Numarası
Yoktur
Kaynakça
- Gordon MA. Salmonella infections in immunocompromised adults. J Infect2008;56:413-22.
- Trachtenberg BH, Hare JM. Inflammatory Cardiomyopathic Syndromes. Circ Res. 2017 Sep 15;121(7):803–18.6
- Caforio AL, Pankuweit S, Arbustini E, et al. Current state of knowledge on aetiology, diagnosis, management, and therapy of myocarditis: a position statement of the European Society of Cardiology Working Group on Myocardial and Pericardial Diseases. Eur Heart J. 2013 Sep;34(33):2636-48.
- Elamm C, FairweatherD, Cooper LT. Pathogenesis and diagnosis of myocarditis. Heart 2012; 98:835–40.
- Cooper LT. Myocarditis. New Engl J Med 2009;360:1526–38.
- Haddad F, Berry G, Doyle RL, Martineau P, et al. Active bacterial myocarditis: a case report and review of the literature. J Heart Lung Transplant 2007; 26: 745-749
- Villablanca P, Mohananey D, Meier G, et al. Salmonella Berta myocarditis: Case report and systematic review of non-typhoid Salmonella myocarditis. World J Cardiol. 2015 Dec 26;7(12):931-7. doi: 10.4330/wjc.v7.i12.931.
- Ukena C, Mahfoud F, Kindermann I, et al. Prognostic electrocardiographic parameters in patients with suspected myocarditis. European journal of heart failure. 2011 Apr;13(4):398–405
- Theler-Ballmer D, Noseda G, Reiner M, et al.. Perikarditis und Myokarditis bei Salmonellen-Erkrankungen [Pericarditis and myocarditis in salmonellosis]. Schweiz Med Wochenschr. 1980 Sep 27;110(39):1394-1401. German. PMID: 7280587.
- Schultz JC, Hilliard AA, Cooper LT, et al. Diagnosis and treatment of viral myocarditis. Mayo Clin Proc 2009; 84: 1001-1009 [PMID: 19880690 DOI: 10.1016/-S0025-6196(11)6067 0-8]
- Yelgec NS, Dymarkowski S, Ganame J, et al. Value of MRI in patients with a clinical suspicion of acute myocarditis. European Radiology. 2007;17(9):2211–2217
Ayrıntılar
| Birincil Dil | Türkçe |
|---|---|
| Konular | Kalp ve Damar Cerrahisi, Bulaşıcı Hastalıklar |
| Bölüm | Olgu Sunumu/Olgu Serisi |
| Yazarlar | |
| Proje Numarası | Yoktur |
| Yayımlanma Tarihi | 15 Aralık 2022 |
| Gönderilme Tarihi | 24 Ekim 2022 |
| Yayımlandığı Sayı | Yıl 2022 Cilt: 2 Sayı: 3 |
e-ISSN: 2791-9935