Campylobacter-associated myopericarditis with ventricular arrhythmia in a young hypothyroid patient.

摘要

I am writing regarding the case report published by Nevzorov et al. [1]. Myocarditis is frequently associated with systemic infections, usually viruses such as parvovirus bl9, adenovirus and coxackie B [2]. Non-viral infections were also described in association with myocarditis mainly in Lyme disease [3]. In their report they describe a young hypothyroid male with Campylobacter gastrointestinal infection suffering from ventricular arrhythmias with echocardiography showing mild global hypokinesis and small pericardial effusion, both non-specific findings in the context of systemic infection. Unfortunately, the authors fail to prove the diagnosis of myocarditis based on objective and widely accepted parameters including positive cardiac biomark-ers that were negative or not measured in this case, typical ECG ST-T changes, and more advanced imaging modalities such as cardiac MRI. Therefore, the diagnosis of peri-myocarditis could only be assumed in this interesting case presentation.