Campylobacter jejuni infection associated with myopericarditis in adolescents: report of two cases

Abstract

Two cases of myopericarditis associated with Campylobacter jejuni infection in male adolescents are presented. C. jejuni is the most common cause of bacterial gastroenteritis worldwide; however, cardiac complications are rare, even in adults. To our knowledge, these are the first reported cases of campylobacter-related myopericarditis in adolescents.

A case of myopericarditis associated to Campylobacter jejuni infection in the southern hemisphere

“…cardiac magnetic resonance has rarely been used in these cases and shows a diffuse enhancement of the myocardium after gadolinium administration. 12,16 in this patient, patchy focal irregularities similar to those described during the first days of well-documented cases of viral myocarditis were observed. 17 cardiac magnetic resonance was more sensitive than echocardiography in this patient.…”

“…that is, a condition that affects predominately young adults or adolescents, usually has a benign course, and is suspected when a patient presents with chest pain shortly after or during diarrheal episodes. [5][6][7][8]12,13 of the 16 cases summarized by Hannu et al, up to the year 2005, 93% were male patients with a mean age of 32.4 years (range 23-54), and had a four-day average period (range 0-14) between diarrhea and the onset of cardiac manifestations. 7 full recovery was observed in 78.6%, and only 21.4% developed chronic sequelae such as arrhythmia or left ventricular dysfunction.…”

Epidemiologic and clinical profiles of bacterial myocarditis. Report of two cases and data from a pooled analysis

“… NSVT + – 45 0 0 + 0 0 – Possible Heinzl et al. 47 2009 Campylobacter jejuni M 16 Fever, GE + 132 17 ST-elevation 0 – + 45 0 0 + 0 0 – Probable 2009 Campylobacter jejuni M 17 Fever, GE + 32 8 ST-elevation 0 – + 60 0 0 + 0 0 – Probable Turley et al. 48 2008 Campylobacter jejuni M 24 Fever, GE + 125 140 ST-elevation 0 0 + 45 0 0 0 + 0 Noonan Syndrome Probable Kotilainen et al.…”

“…The overall median LVEF at admission was 45%, 20 , 35 , 36 , 37 , 38 , 39 , 40 , 41 , 42 , 43 , 44 , 45 , 46 , 47 , 48 , 49 , 50 , 51 , 52 , 53 and patients with sepsis had significantly lower values (35% 20 , 21 , 22 , 23 , 24 , 25 , 26 , 27 , 28 , 29 , 30 , 31 , 32 , 33 , 34 , 35 , 36 , 37 , 38 , 39 , 40 , 41 , 42 , 43 , 44 vs 50% 39 , 44 , 45 , 46 , 47 , 48 , 49 , 50 , 51 , 52 , 53 , 54 , 55 , 56 ; (p < 0.001)).…”

Myocarditis associated with campylobacter jejuni colitis: a case report

“…Cardiac magnetic resonance imaging is very useful as a non-invasive method in cases of suspected myocarditis. It looks for evidence of new or recent myocardial damage, increased T2 signal or delayed enhancement [ 5 , 6 ]. The physiopathology of myocarditis in human is not well understood, several theories have been developed.…”