Title: Enteric Myocarditis With Rhabdomyolysis Causing Acute Renal Failure: A Case Report
Authors: Chetan Jain, Harshal Bhitkar, Pramod Umarji, Deelip Kadam
DOI: http://dx.doi.org/10.18535/jmscr/v4i2.10
Abstract
Rhabdomyolysis as well as myocarditis are considered to be rare complications of Salmonella infection. The diagnosis of these extra intestinal manifestations of enteric fever is often missed owing to the non specific symptoms. Life threatening complications of this condition make its prompt diagnosis and treatment imperative. Here we present case of a young male presenting with fever where diagnosis of enteric myocarditis with rhabdomyolysis and its prompt treatment helped in avoiding serious consequences. It serves to highlight the importance of clinical suspicion on part of the physician in providing timely diagnosis and effective treatment to the patient.
References
1. Parry CM, Hien TT, Dougan G, White NJ, Farrar JJ. Typhoid Fever. N Engl J Med. 2002;347(22):1770–82.
2. Khan FY, El-Hiday AH, Kamel HA. Typhoid osteomyelitis of the lumbar spine. Hong Kong Med J. 2006;12(5):391–3.
3. Chakraborty PP, Bhattacharjee R, Bandyopadhyay D. Complicated typhoid fever. J Assoc Physicians India. 2010; 58(3):186–7.
4. Shah S, Dubrey SW. Typhoid fever, complicated by myocarditis, in a traveller returning to the UK. BMJ Case Rep 2013;2012–4.
5. Olinde KD, O’Connell JB. Inflammatory heart disease: pathogenesis, clinical manifestations, and treatment of myocarditis. Annu Rev Med. 1994;45:481–90.
6. Sathyamurthy I, Vidyalakshmi PR, Jayanthi K. Salmonella myocarditis presenting as acute myocardial infarction: a case report. Indian Hear J
7. Brncic N, Viskovic I, Sasso A, Kraus I, Zamolo G. Salmonella infection-associated acute rhabdomyolysis. Some pathogenic considerations. Arch Med Res. 2002;33(3):313–5.
8. Grant AD, Djomand G, Smets P, Kadio A, Coulibaly M, Kakou A, et al. Profound immunosuppression across the spectrum of opportunistic disease among hospitalized HIV-infected adults in Abidjan, Cote d’Ivoire. AIDS. 1997;11(11):1357–64.