Sep 2026· Le infezioni in medicina· Vol 34 3, pp.
366-370
· 0 citations
Medicine
TL;DR
The case of a 21-year-old immunocompetent man who developed acute perimyocarditis three days after microbiologically confirmed C. jejuni enteritis, highlighting the importance of considering perimyocarditis in young patients presenting with chest pain following recent gastroenteritis and underscores the diagnostic value of CMR.
Abstract
Campylobacter jejuni is a common cause of bacterial gastroenteritis, while cardiac involvement is a rare extraintestinal complication. We report the case of a 21-year-old immunocompetent man who developed acute perimyocarditis three days after microbiologically confirmed C. jejuni enteritis. He presented with pleuritic chest pain, elevated inflammatory markers, and increased high-sensitivity troponin I levels. Echocardiography showed preserved ventricular function, whereas cardiac magnetic resonance imaging (CMR) demonstrated myocardial edema and subepicardial-to-mid-myocardial late gadolinium enhancement, fulfilling the Revised Lake Louise Criteria for acute myocarditis. The patient had an uncomplicated clinical course and was discharged in stable condition. This case highlights the importance of considering perimyocarditis in young patients presenting with chest pain following recent gastroenteritis and underscores the diagnostic value of CMR.
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BACKGROUND
Cardiac involvement is an uncommon and incompletely characterized complication of mpox infection.
CASE SUMMARY
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Yersinia enterocolitica
infection-induced liver abscess is extremely rare in clinical practice. It is usually only seen in specific high-risk groups, such as those with iron overload (such as hemochromatosis patients), immunosuppression (such as those undergoing chemotherapy, organ transplantation, or HIV infection)...
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