Shigella gastroenteritis with myocarditis and acute kidney injury: a case report

Salini N. R.; Srikantan S.; Hitha Sebastian

doi:10.18203/2320-6012.ijrms20260272

Authors

Salini N. R. Department of General Medicine, Government Medical College, Thiruvananthapuram, Kerala, India
Srikantan S. Department of General Medicine, Government Medical College, Thiruvananthapuram, Kerala, India
Hitha Sebastian Department of General Medicine, Government Medical College, Thiruvananthapuram, Kerala, India

DOI:

https://doi.org/10.18203/2320-6012.ijrms20260272

Keywords:

Shigella, Myocarditis, Rhabdomyolysis, Hemolytic uremic syndrome

Abstract

Shigella are a well-known cause of acute gastrointestinal infections but sometimes it can present with extraintestinal manifestations. Extra intestinal complications of shigella includes seizures, encephalopathy, reactive arthritis, acute kidney injury of Haemolytic-Uremic Syndrome (HUS). Other severe manifestations can involve the myocarditis. severe hyponatremia, bacteremia, and a leukemoid reaction. Shigella myocarditis refers to a very rare complication during or after a Shigella infection. Viral infections are more common cause of acute myocarditis. Bacterial myocarditis is very rare but only few cases shigella myocarditis have been reported in the past. This article presents a 38year old male presenting with a case of shigella gastroenteritis complicated by myocarditis and acute kidney injury. He was presented with dysentery and chest pain with electrocardiogram showing ST-T changes, his echo showed global hypokinesia with low ejection fraction. Stool examination revealed shigella species. This event was resolved with treatment of antibiotics.

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