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Myocarditis and Rhabdomyolysis in a Healthy Young Man Caused by Salmonella Gastroenteritis

机译:沙门氏菌肠胃炎引起的健康年轻人的心肌炎和横纹肌溶解

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Salmonella gastroenteritis is a common, self-limiting, foodborne disease and a rare cause of life-threatening complications especially in immunocompetent individuals. Moreover, bacterial infections of the GI tract have been rarely reported as a cause of serious complications like acute myocarditis and rhabdomyolysis. While viral infections are commonly associated with myocarditis, bacterial infections are infrequently seen with these conditions. Similarly, bacterial infections may lead to only 5% of adult rhabdomyolysis events whereas viral-induced myositis appears to be the commonest. A 28-year-old young male with no past medical problems presented with acute salmonella gastroenteritis that was complicated by myocardial injury (most likely myocarditis), rhabdomyolysis, acute renal failure, and shock. He made an uneventful complete recovery of all complications by early recognition of these rare complications and prompt institution of appropriate therapy.
机译:沙门氏菌肠胃炎是一种常见的,自限性的食源性疾病,并且是威胁生命的并发症的罕见原因,特别是在具有免疫能力的个体中。此外,极少有人报道胃肠道细菌感染是严重并发症如急性心肌炎和横纹肌溶解的原因。尽管病毒感染通常与心肌炎有关,但在这些情况下很少见到细菌感染。同样,细菌感染可能仅导致成人横纹肌溶解事件的5%,而病毒性肌炎似乎是最常见的事件。一位28岁的年轻男性,既往没有医疗问题,其表现为急性沙门氏菌肠胃炎,并发心肌损伤(最可能是心肌炎),横纹肌溶解,急性肾功能衰竭和休​​克。通过尽早发现这些罕见的并发症并及时采取适当的治疗措施,他使所有并发症都能顺利恢复。

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