Muhammet Raşit AYDIN, Siraceddin DELİCE, Perihan VARIM

Akut Koroner Sendrom Kliniği ile Prezente Olan Salmonella Enteritine Bağlı Gelişen Miyokardit Olgusu

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:

Salmonella, Miyokarditler, Gıda Zehirlenmesi

A Case of Myocarditis Related to Salmonella Enteritis Presenting with Acute Coronary Syndrome Clinic

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.

Keywords:

Salmonella, Myocarditis, Food Poisoning,

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