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Suehiro W, Nishio R, Noiri JI, Takeshige R, Konishi H, Matsuzoe H, Matsumoto A, Ozawa M, Matsumoto D, Inaba M, Takaishi H. Acute myocarditis secondary to Campylobacter jejuni enteritis: A case report. J Cardiol Cases 2023; 28:185-188. [PMID: 38024108 PMCID: PMC10658291 DOI: 10.1016/j.jccase.2023.06.008] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/15/2022] [Revised: 05/24/2023] [Accepted: 05/30/2023] [Indexed: 12/01/2023] Open
Abstract
Acute myocarditis is a rare complication of Campylobacter jejuni enteritis. Herein, we report the case of a 20-year-old man who presented with chest pain that developed three days after the onset of enteritis. Electrocardiogram, echocardiogram, and cardiac enzyme levels suggested myocarditis. Cardiac magnetic resonance imaging revealed a late gadolinium enhancement in the inferior wall. Degeneration and necrosis of myocardial cells and lymphocyte-dominant inflammatory cell infiltration were found in the tissue obtained by endomyocardial biopsy. Acute myocarditis associated with C. jejuni enteritis was confirmed by these findings and C. jejuni detected in the stool culture. The symptoms of enteritis and myocarditis remitted 10 days after the onset. The left ventricular ejection fraction was improved from 40 % to 57 %.In previous cases, endomyocardial biopsy has not been performed because of mild myocarditis. The lack of pathological reports makes the mechanism of myocarditis associated with C. jejuni enteritis unknown. We report a case of myocarditis associated with C. jejuni enteritis, which was diagnosed using cardiac magnetic resonance imaging and endomyocardial biopsy. Learning objective Acute myocarditis is a rare but important complication of Campylobacter jejuni enteritis. Cardiac magnetic resonance imaging is useful for diagnosis. Most cases of myocarditis associated with C. jejuni enteritis were mild and remitted without specific treatment. In the present case, endomyocardial biopsy was performed and CD4-positive lymphocytes were predominantly detected in the myocardial tissue.
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Affiliation(s)
- Wako Suehiro
- Department of Cardiovascular Medicine, Yodogawa Christian Hospital, Osaka, Japan
| | - Ryo Nishio
- Department of Cardiovascular Medicine, Yodogawa Christian Hospital, Osaka, Japan
| | - Jun-ichi Noiri
- Department of Cardiovascular Medicine, Yodogawa Christian Hospital, Osaka, Japan
| | - Ryo Takeshige
- Department of Cardiovascular Medicine, Yodogawa Christian Hospital, Osaka, Japan
| | - Hiroki Konishi
- Department of Cardiovascular Medicine, Yodogawa Christian Hospital, Osaka, Japan
| | - Hiroki Matsuzoe
- Department of Cardiovascular Medicine, Yodogawa Christian Hospital, Osaka, Japan
| | - Akinori Matsumoto
- Department of Cardiovascular Medicine, Yodogawa Christian Hospital, Osaka, Japan
| | - Makito Ozawa
- Department of Cardiovascular Medicine, Yodogawa Christian Hospital, Osaka, Japan
| | - Daisuke Matsumoto
- Department of Cardiovascular Medicine, Yodogawa Christian Hospital, Osaka, Japan
| | - Mayumi Inaba
- Department of Pathology, Yodogawa Christian Hospital, Osaka, Japan
| | - Hiroshi Takaishi
- Department of Cardiovascular Medicine, Yodogawa Christian Hospital, Osaka, Japan
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Mohamed Jiffry MZ, Okam NA, Vargas J, Adekunle FA, Pagan SC, Khowaja F, Ahmed-Khan MA. Myocarditis as a Complication of Campylobacter jejuni-Associated Enterocolitis: A Report of Two Cases. Cureus 2023; 15:e36171. [PMID: 37065376 PMCID: PMC10104424 DOI: 10.7759/cureus.36171] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 03/14/2023] [Indexed: 03/17/2023] Open
Abstract
Myocarditis refers to inflammation of the heart muscle and may occur individually or together with pericarditis, which refers to inflammation of the saclike tissue layer that surrounds the heart. They may have infectious or non-infectious etiologies. Campylobacter jejuni, a major cause of gastroenteritis worldwide, may also cause myocarditis in rare situations. We present two cases highlighting this rare complication of diarrheal disease caused by Campylobacter jejuni infection and subsequent development of myocarditis. Both patients presented with chest pain and multiple episodes of watery diarrhea, with initial EKGs showing ST segment changes, as well as elevated inflammatory markers and elevated troponins. GI panels for both patients were positive for Campylobacter jejuni. Based on their presentations and investigative findings, they were diagnosed with myocarditis secondary to Campylobacter infection, and their symptoms subsided with appropriate management. It is unclear if the myocardial damage, in this case, is a direct effect of the toxin on cardiac myocytes or secondary to an immunologic phenomenon. Regardless, Campylobacter jejuni-associated myocarditis remains a rare phenomenon and needs to be considered in the differential of patients presenting with concurrent chest pain and diarrheal symptoms.
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Sasaki Y, Iwata T, Uema M, Yonemitsu K, Igimi S, Asakura H. Campylobacter spp. prevalence and fluoroquinolone resistance in chicken layer farms. J Vet Med Sci 2022; 84:743-746. [PMID: 35473799 PMCID: PMC9246681 DOI: 10.1292/jvms.22-0047] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/23/2022] Open
Abstract
Chicken is a major source of human campylobacteriosis. Chicken meat originates not only
from broilers but also from spent layers; however, few reports have documented the
prevalence and antimicrobial resistance of Campylobacter spp. in layers
in Japan. Therefore, we investigated the prevalence and antimicrobial susceptibility of
Campylobacter spp. in 47 layer farms in Japan. Fecal samples were
collected from the youngest and oldest flocks on the farm, and
Campylobacter spp. was isolated from 46/47 (97.9%) farms. Among the
C. jejuni isolates, the resistance rates to ampicillin, tetracycline,
and ciprofloxacin were 29.6%, 22.2%, and 19.8%, respectively. The ciprofloxacin resistance
rate (7.3%) in C. jejuni isolated from old flocks was significantly
(P<0.01) lower than that in young flocks (32.5%).
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Affiliation(s)
- Yoshimasa Sasaki
- National Institute of Health Sciences.,The United Graduate School of Veterinary Science, Gifu University
| | - Taketoshi Iwata
- Division of Zoonosis Research, National Institute of Animal Health, National Agriculture and Food Research Organization
| | | | | | | | - Hiroshi Asakura
- National Institute of Health Sciences.,The United Graduate School of Veterinary Science, Gifu University
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Chantzaras AP, Karageorgos S, Panagiotou P, Georgiadou E, Chousou T, Spyridopoulou K, Paradeisis G, Kanaka-Gantenbein C, Botsa E. Myocarditis in a Pediatric Patient with Campylobacter Enteritis: A Case Report and Literature Review. Trop Med Infect Dis 2021; 6:tropicalmed6040212. [PMID: 34941668 PMCID: PMC8707348 DOI: 10.3390/tropicalmed6040212] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/26/2021] [Revised: 12/09/2021] [Accepted: 12/13/2021] [Indexed: 01/17/2023] Open
Abstract
Myocarditis represents a potential complication of various infectious and noninfectious agents and a common diagnostic challenge for clinicians. Data regarding Campylobacter-associated myocarditis are limited. Here, a case of a 13-year-old female with Campylobacter jejuni gastroenteritis complicated by myocarditis is presented, followed by a literature review in order to retrieve information about Campylobacter-associated carditis in the pediatric population. A search on MEDLINE/PubMed yielded 7relevant cases in the last 20 years. Most of them (six/seven) were males and the mean age was 16.1 years. All patients presented with gastrointestinal symptoms followed in six/seven cases by chest pain within two to seven days. Campylobacter was isolated from stool cultures in six patients; abnormal electrocardiographic findings were detected in six; and abnormal echocardiographic findings in three of the cases. Five patients were treated with antibiotics. Full recovery was the clinical outcome in six patients, whereas one patient died. Concerning the nonspecific symptoms of patients with myocarditis, high clinical suspicion of this complication is necessary in cases where patients with a recent infection present with chest pain and elevated cardiac biomarkers.
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Affiliation(s)
- Anastasios-Panagiotis Chantzaras
- First Department of Pediatrics, Medical School, National and Kapodistrian University of Athens, “Aghia Sophia” Children’s Hospital, Thivon and Papadiamantopoulou Street, 11527 Athens, Greece; (A.-P.C.); (S.K.); (P.P.); (E.G.); (T.C.); (C.K.-G.)
| | - Spyridon Karageorgos
- First Department of Pediatrics, Medical School, National and Kapodistrian University of Athens, “Aghia Sophia” Children’s Hospital, Thivon and Papadiamantopoulou Street, 11527 Athens, Greece; (A.-P.C.); (S.K.); (P.P.); (E.G.); (T.C.); (C.K.-G.)
| | - Panagiota Panagiotou
- First Department of Pediatrics, Medical School, National and Kapodistrian University of Athens, “Aghia Sophia” Children’s Hospital, Thivon and Papadiamantopoulou Street, 11527 Athens, Greece; (A.-P.C.); (S.K.); (P.P.); (E.G.); (T.C.); (C.K.-G.)
| | - Elissavet Georgiadou
- First Department of Pediatrics, Medical School, National and Kapodistrian University of Athens, “Aghia Sophia” Children’s Hospital, Thivon and Papadiamantopoulou Street, 11527 Athens, Greece; (A.-P.C.); (S.K.); (P.P.); (E.G.); (T.C.); (C.K.-G.)
| | - Theodora Chousou
- First Department of Pediatrics, Medical School, National and Kapodistrian University of Athens, “Aghia Sophia” Children’s Hospital, Thivon and Papadiamantopoulou Street, 11527 Athens, Greece; (A.-P.C.); (S.K.); (P.P.); (E.G.); (T.C.); (C.K.-G.)
| | - Kalliopi Spyridopoulou
- Department of Microbiology, National and Kapodistrian University of Athens, “Aghia Sophia” Children’s Hospital, Thivon and Papadiamantopoulou Street, 11527 Athens, Greece; (K.S.); (G.P.)
| | - Georgios Paradeisis
- Department of Microbiology, National and Kapodistrian University of Athens, “Aghia Sophia” Children’s Hospital, Thivon and Papadiamantopoulou Street, 11527 Athens, Greece; (K.S.); (G.P.)
| | - Christina Kanaka-Gantenbein
- First Department of Pediatrics, Medical School, National and Kapodistrian University of Athens, “Aghia Sophia” Children’s Hospital, Thivon and Papadiamantopoulou Street, 11527 Athens, Greece; (A.-P.C.); (S.K.); (P.P.); (E.G.); (T.C.); (C.K.-G.)
| | - Evanthia Botsa
- First Department of Pediatrics, Medical School, National and Kapodistrian University of Athens, “Aghia Sophia” Children’s Hospital, Thivon and Papadiamantopoulou Street, 11527 Athens, Greece; (A.-P.C.); (S.K.); (P.P.); (E.G.); (T.C.); (C.K.-G.)
- Correspondence: or
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