Salmonella Berta myocarditis: Case report and systematic review of non-typhoid Salmonella myocarditis

Table 1 Diagnostic testing for reported case

Diagnostic test	Result
Hemoglobin	12.5 g/dL
WBC	6.9 × 109/L
Kidney function and electrolytes	Within normal limits
Alkaline phosphatase	33 IU/L
Aspartate aminotransferase	42 IU/L
Lactate dehydrogenase	325 IU/L
Troponin I (at presentation)	6.23 ng/mL
Troponin I (6 h later)	13.2 ng/mL
ECG	ST depression in V1 and V2 with ST elevations in V5 and V6
TTE	EF of 40% with no regional wall motion abnormalities or pericardial fluid
CMR	Multiple areas of abnormal sub-epicardial and mid-myocardial contrast hyper enhancement involving the posterior, inferior and anterior walls of the left ventricle, the anterior wall of right ventricle and the inter-ventricular septum reflecting multifocal biventricular myocarditis

WBC: White blood cell count; ECG: Electrocardiogram; TTE: Transthoracic echocardiogram; CMR: Cardiac magnetic resonance imaging; EF: Ejection fraction.

Table 2 Clinical, electrocardiographic, laboratory, and imaging findings of non-typhoid Salmonella myocarditis

	n (%)	n1
Culture
Blood	7 (29.1)	24
Stool	16 (66.6)	24
Myocardial biopsy	1 (4.1)	24
Presenting sign or symptom
Dyspnea	6 (25)	24
Chest pain	15 (62.5)	24
Fever	16 (66.6)	24
Diarrhea	5 (22.7)	22
Abdominal pain	15 (71.4)	21
Hypotension	5 (21.7)	23
Tachycardia	13 (56.5)	23
ECG abnormalities
ST elevation	12 (52.1)	23
ST depression	4 (17.3)	23
T-wave inversion	6 (26)	23
Infero-lateral	12 (52.1)	23
Antero-lateral	6 (26)	23
Inflammatory markers
WBC > 10000/mm3	8 (40)	20
Elevated troponin	9 (69.2)	13
Elevated CK	10 (66.6)	15
Elevated ESR or CRP	9 (100)	9
TTE
Reduced ejection fraction	4 (36.4)	11
Regional wall motion abnormality	5 (45.5)	11
Chest X-ray
Cardiomegaly	3 (27.7)	11
Pulmonary edema	3 (27.7)	11
CMR	2 (100)	2

¹Based on reported data. ECG: Electrocardiogram; WBC: White blood cell count; CK: Creatine kinase; ESR: Erythrocyte sedimentation rate; CRP: C-reactive protein; TTE: Transthoracic echocardiogram; CMR: Cardiac magnetic resonance imaging.