Abstract
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.
Highlights
Salmonella enteritidis is one of the commonest serotypes of salmonella bacteria reported globally, especially in underdeveloped countries
Myocarditis and rhabdomyolysis have been very rarely reported in patients
Myocarditis was identified in 9% of postmortem examinations of patients who died from salmonella infection [4]
Summary
Salmonella enteritidis is one of the commonest serotypes of salmonella bacteria reported globally, especially in underdeveloped countries. The course of the illness usually follows a benign course of 4–7 days that usually resolves without the need of antibiotics. Myocarditis, acute renal failure, and shock are very rare [1, 2]. Infants and immunocompromised patients may develop a more severe illness with spread to other body sites that can lead to death if not treated with prompt antibiotics. Acute myocarditis and rhabdomyolysis are two life-threatening conditions that can be caused by infective, toxic, or autoimmune etiologies. Salmonella infections may present in an unusual way in immunocompetent individuals. Chest pain or ECG changes, severe muscle pain, or weakness in a very ill-looking patient with diarrhea should be promptly investigated
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