The most common cause of acute myocarditis in developed countries is viruses. Bacterial myocarditis is very rare and caused by various bacteria, but only three cases have been reported in the past where was the aetiology. Two out of the three cases reported were in a paediatric population.

Case Presentation:

A 38-year-old female was presenting with chest pain and an increased level of troponins with the EKG (electrocardiogram) showing non-specific T-wave changes. Preceding the chest pain, the patient had gastroenteritis confirmed by stool culture. The patient's cardiac catheterization showed normal findings. Thus a diagnosis of bacterial myocarditis was made. The event resolved after successful treatment of the gastroenteritis with ciprofloxacin.


We are reporting a very rare case of gastroenteritis that resulted in the development of acute myocarditis and was successfully treated with antibiotics.


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  1. Caraco Y., Raveh D., Raz I. 1987; Shigella sonnei myocarditis. Clin Cardiol 10:423–424 [View Article][PubMed]
    [Google Scholar]
  2. Collier R. J. 1975; Diphtheria toxin: mode of action and structure. Bacteriol Rev 39:54–85[PubMed]
    [Google Scholar]
  3. Feldman A. M., McNamara D. 2000; Myocarditis. N Engl J Med 343:1388–1398 [View Article][PubMed]
    [Google Scholar]
  4. Mahrholdt H., Wagner A., Deluigi C. C., Kispert E., Hager S., Meinhardt G., Vogelsberg H., Fritz P., Dippon J., other authors. 2006; Presentation, patterns of myocardial damage, and clinical course of viral myocarditis. Circulation 114:1581–1590 [View Article][PubMed]
    [Google Scholar]
  5. Niyogi S. K. 2005; Shigellosis. J Microbiol 43:133–143[PubMed]
    [Google Scholar]
  6. Rubenstein J. S., Noah Z. L., Zales V. R., Shulman S. T. 1993; Acute myocarditis associated with Shigella sonnei gastroenteritis. J Pediatr 122:82–84 [View Article][PubMed]
    [Google Scholar]
  7. Vieira N. B., Rodriguez-Vera J., Grade M. J., Santos C. 2008; Traveler's myopericarditis. Eur J Intern Med 19:146–147 [View Article][PubMed]
    [Google Scholar]
  8. Westling K., Evengard B. 2001; Myocarditis associated with Campylobacter infection. Scand J Infect Dis 33:877–878 [View Article][PubMed]
    [Google Scholar]
  9. Yancy C. W., Jessup M., Bozkurt B., Butler J., Casey D. E. Jr, Drazner M. H., Fonarow G. C., Geraci S. A., Horwich T., other authors. 2013; 2013 ACCF/AHA guideline for the management of heart failure: executive summary: a report of the American College of Cardiology Foundation/American Heart Association Task Force on practice guidelines. Circulation 128:1810–1852 [View Article][PubMed]
    [Google Scholar]

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