Infectious Diseases 2017

Infectious Diseases 2017

Campylobacter jejuni-associated perimyocarditis: two case reports

Hessulf et al. BMC Infectious Diseases (2016) 16:289 7 July, 2017

A previously healthy 24-yo male (A) presented at the Emergency Department (ED) with recent onset of chest pain and a 3-day history of abdominal pain, fever and diarrhoea. The symptoms began within a few hours of returning from a tourist visit to a central European capital. Vital signs were stable, stool cultures were positive for Campylobacter Jejuni and blood cultures were negative. Two days after patient A was admitted to the ED his travel companion (B), also a previously healthy male (23-yo), presented at the same ED with almost identical symptoms: chest pain precipitated by a few days of abdominal pain, fever and diarrhoea. Patient B declared that he and patient A had ingested chicken prior to returning from their tourist trip. In both cases, the diagnosis of C. jejuni-associated perimyocarditis was set based on the typical presentation and positive stool cultures with identical strains. Both patients were given antibiotics, rapidly improved and were fully recovered at 6-week follow up.