Search

Myocarditis is a rare condition that can mimic an acute coronary syndrome (ACS). We present the case of a 24-year-old male with Noonan syndrome who presented with a diarrhoeal pro-dromal illness, acute onset chest pain, elevated cardiac biomarkers and an abnormal ECG with ST elevation in the absence of obstructive coronary artery disease. The patient had acute myocarditis secondary to Campylobacter jejuni enterocolitis. Infective myocarditis is most commonly due to a viral infection. Myocarditis is very rarely due to a bacterial infection with only isolated reports of myocarditis induced by Campylobacter jejuni infection. At follow-up he remains well. Myocarditis should be considered in all patients presenting with acute onset chest pain and elevated cardiac biomarkers.

0300-9572/$ — see front matter © 2007 Elsevier Ireland Ltd. All rights re doi:10.1016/j.resuscitation.2007.09.001 On admission he was unwell, complaining of nausea, omiting, dizziness, blurred vision and malaise. Physical xamination revealed only bradycardia. The admission elecrocardiogram showed high grade atrioventricular block Figure 2). Serum digoxin levels were elevated at 4.7 g/L therapeutic range 1—2), confirming exposure. Serum potasium and magnesium levels were within normal limits and he as not acidotic. He was transferred to the coronary care unit and after iscussion with the national toxicology service, he was reated with supportive measures and placed on telemetry o monitor cardiac arrhythmias. He did not receive activated