CASE REPORT: MYOCARDITIS, A RARE PRESENTATION OF ENTERIC FEVER

Enteric fever is a disease which predominantly presents with features of high grade fever, abdominal pain, constipation and headaches. Enteric fever is generally thought of as an infection which usually affects the gastrointestinal system of the body. It has certain cardiovascular complications as well which albeit rare, but still very important to consider regarding the severity of the condition. There have only been so far only a few case reports regarding this rare complication of enteric fever. We present a case of enteric fever induced myocarditis in a young male patient. The presentation is that of a cardiomyopathy of any other cause which makes it a challenging case to diagnose and it makes it basically a diagnosis of exclusion. Cardiac MR (CMR) forms the main diagnostic tool for its diagnosis with supporting evidence from echo and troponin levels. The main management is the same as any other cardiomyopathy with ACE inhibitors, beta blockers and diuretics forming the main treatment strategy. Our patient recovered completely from the myocarditis with no long lasting cardiovascular outcomes. The purpose of our study is to add to the much deficient knowledge regarding the cardiovascular complications of enteric fever and point to the clinicians that they have to vary of such a presentation when they come across enteric fever patients.

Keywords: Myocarditis, Enteric fever, Cardiac MR (CMR), Cardiac Function, Outcome