Typhoid fever, complicated by myocarditis, in a traveller returning to the UK.

Autor: Shah, Shreena, Dubrey, Simon William
Předmět:
Zdroj: BMJ Case Reports; Jan2013, p1-3, 3p
Abstrakt: A 25-year-old male returning traveller presented with sudden onset chest pain. An ECG showed infero-lateral ischaemic changes, with an elevated troponin and inflammatory markers. An echocardiogram showed a normal size left ventricle, dynamic systolic function, structurally normal valves and no regional wall motion abnormality. Angiography revealed normal coronary arteries. A diagnosis of myocarditis was made. Five days later, he developed a significant pyrexia and diarrhoea. Salmonella typhi was isolated from blood cultures. The fever and symptoms resolved after 2 weeks of an intravenous third generation cephalosporin and the patient was discharged. [ABSTRACT FROM AUTHOR]
Databáze: Complementary Index