Acute myocarditis caused by Francisella tularensis : a case report
Myocarditis is an inflammatory disease of the myocardium with either focal or diffuse involvement and usually gives rise to chest pain, dyspnea, palpitations, and fatigue. In severe cases, arrythmias, syncope, and cardiogenic shock may occur. Acute myocarditis is most commonly caused by a variety of...
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Umeå universitet, Avdelningen för medicin
2023
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ftumeauniv:oai:DiVA.org:umu-223356 2024-05-12T08:08:55+00:00 Acute myocarditis caused by Francisella tularensis : a case report Tuiskunen-Bäck, Anne Flygare, Carolina Eriksson, Anders Johansson, Anders 2023 application/pdf http://urn.kb.se/resolve?urn=urn:nbn:se:umu:diva-223356 https://doi.org/10.1007/s42399-023-01436-w eng eng UmeÃ¥ universitet, Avdelningen för medicin UmeÃ¥ universitet, Diagnostisk radiologi UmeÃ¥ universitet, Institutionen för klinisk mikrobiologi , 2023, 5:1, SN Comprehensive Clinical Medicine, 2023, 5:1, orcid:0000-0001-9821-1348 orcid:0000-0001-7026-5061 orcid:0000-0003-0548-5943 http://urn.kb.se/resolve?urn=urn:nbn:se:umu:diva-223356 doi:10.1007/s42399-023-01436-w info:eu-repo/semantics/openAccess Microbiology in the medical area Mikrobiologi inom det medicinska omrÃ¥det Cardiac and Cardiovascular Systems Kardiologi Infectious Medicine Infektionsmedicin Article in journal info:eu-repo/semantics/article text 2023 ftumeauniv https://doi.org/10.1007/s42399-023-01436-w 2024-04-17T14:05:39Z Myocarditis is an inflammatory disease of the myocardium with either focal or diffuse involvement and usually gives rise to chest pain, dyspnea, palpitations, and fatigue. In severe cases, arrythmias, syncope, and cardiogenic shock may occur. Acute myocarditis is most commonly caused by a variety of viruses with cardiotropic properties. Rare causes of myocarditis include bacterial infections. We, herein, describe a case of acute myocarditis caused by the intracellular bacterium Francisella tularensis. A young and previously healthy male in Northern Sweden was referred to the emergency department due to intense upper-chest pain and dyspnea. ECG exhibited minimal ST-segment elevations and laboratory parameters revealed pathological levels of high-sensitivity cardiac troponin and C-reactive protein. Radiological imaging showed increased metabolism in enlarged lymph nodes in the chest and signs that could be compatible with increased metabolism in the left ventricular of the heart. The combination of acute myocarditis and enlarged lymph nodes was believed to be caused by the intracellular bacterium Francisella tularensis, endemic in the Northern Sweden, and was verified with positive serology. The patient showed full recovery after antimicrobial treatment. As this is the fifth published case of myocarditis associated with Francisella tularensis, we suggest considering tularemia in acute myocarditis in tularemia-endemic area. Article in Journal/Newspaper Northern Sweden Umeå University: Publications (DiVA) SN Comprehensive Clinical Medicine 5 1 |
institution |
Open Polar |
collection |
Umeå University: Publications (DiVA) |
op_collection_id |
ftumeauniv |
language |
English |
topic |
Microbiology in the medical area Mikrobiologi inom det medicinska området Cardiac and Cardiovascular Systems Kardiologi Infectious Medicine Infektionsmedicin |
spellingShingle |
Microbiology in the medical area Mikrobiologi inom det medicinska området Cardiac and Cardiovascular Systems Kardiologi Infectious Medicine Infektionsmedicin Tuiskunen-Bäck, Anne Flygare, Carolina Eriksson, Anders Johansson, Anders Acute myocarditis caused by Francisella tularensis : a case report |
topic_facet |
Microbiology in the medical area Mikrobiologi inom det medicinska området Cardiac and Cardiovascular Systems Kardiologi Infectious Medicine Infektionsmedicin |
description |
Myocarditis is an inflammatory disease of the myocardium with either focal or diffuse involvement and usually gives rise to chest pain, dyspnea, palpitations, and fatigue. In severe cases, arrythmias, syncope, and cardiogenic shock may occur. Acute myocarditis is most commonly caused by a variety of viruses with cardiotropic properties. Rare causes of myocarditis include bacterial infections. We, herein, describe a case of acute myocarditis caused by the intracellular bacterium Francisella tularensis. A young and previously healthy male in Northern Sweden was referred to the emergency department due to intense upper-chest pain and dyspnea. ECG exhibited minimal ST-segment elevations and laboratory parameters revealed pathological levels of high-sensitivity cardiac troponin and C-reactive protein. Radiological imaging showed increased metabolism in enlarged lymph nodes in the chest and signs that could be compatible with increased metabolism in the left ventricular of the heart. The combination of acute myocarditis and enlarged lymph nodes was believed to be caused by the intracellular bacterium Francisella tularensis, endemic in the Northern Sweden, and was verified with positive serology. The patient showed full recovery after antimicrobial treatment. As this is the fifth published case of myocarditis associated with Francisella tularensis, we suggest considering tularemia in acute myocarditis in tularemia-endemic area. |
format |
Article in Journal/Newspaper |
author |
Tuiskunen-Bäck, Anne Flygare, Carolina Eriksson, Anders Johansson, Anders |
author_facet |
Tuiskunen-Bäck, Anne Flygare, Carolina Eriksson, Anders Johansson, Anders |
author_sort |
Tuiskunen-Bäck, Anne |
title |
Acute myocarditis caused by Francisella tularensis : a case report |
title_short |
Acute myocarditis caused by Francisella tularensis : a case report |
title_full |
Acute myocarditis caused by Francisella tularensis : a case report |
title_fullStr |
Acute myocarditis caused by Francisella tularensis : a case report |
title_full_unstemmed |
Acute myocarditis caused by Francisella tularensis : a case report |
title_sort |
acute myocarditis caused by francisella tularensis : a case report |
publisher |
Umeå universitet, Avdelningen för medicin |
publishDate |
2023 |
url |
http://urn.kb.se/resolve?urn=urn:nbn:se:umu:diva-223356 https://doi.org/10.1007/s42399-023-01436-w |
genre |
Northern Sweden |
genre_facet |
Northern Sweden |
op_relation |
, 2023, 5:1, SN Comprehensive Clinical Medicine, 2023, 5:1, orcid:0000-0001-9821-1348 orcid:0000-0001-7026-5061 orcid:0000-0003-0548-5943 http://urn.kb.se/resolve?urn=urn:nbn:se:umu:diva-223356 doi:10.1007/s42399-023-01436-w |
op_rights |
info:eu-repo/semantics/openAccess |
op_doi |
https://doi.org/10.1007/s42399-023-01436-w |
container_title |
SN Comprehensive Clinical Medicine |
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5 |
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1 |
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1798852060104359936 |