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Case Reports
. 2021 Dec 16;6(4):212.
doi: 10.3390/tropicalmed6040212.

Myocarditis in a Pediatric Patient with Campylobacter Enteritis: A Case Report and Literature Review

Anastasios-Panagiotis Chantzaras  1 , Spyridon Karageorgos  1 , Panagiota Panagiotou  1 , Elissavet Georgiadou  1 , Theodora Chousou  1 , Kalliopi Spyridopoulou  2 , Georgios Paradeisis  2 , Christina Kanaka-Gantenbein  1 , Evanthia Botsa  1
Affiliations
Case Reports

Myocarditis in a Pediatric Patient with Campylobacter Enteritis: A Case Report and Literature Review

Anastasios-Panagiotis Chantzaras et al. Trop Med Infect Dis. .

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.

Keywords: Campylobacter; myocarditis; myopericarditis; pediatric; review.

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Conflict of interest statement

The authors declare no conflict of interest.

Figures

Figure 1
Figure 1
ECG on Day 2.
Figure 2
Figure 2
Cardiac echocardiography on Day 2.
Figure 3
Figure 3
Follow-up CMR.
See this image and copyright information in PMC

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