Acute myocarditis precipitated by Salmonella Montevideo infection: a case report.

After admission, diarrhoea worsened with ten watery stools per day without evidence of blood per rectum. He developed rigors, sweating and a sinus tachycardia 115/min. Abdominal exam revealed generalised tenderness with no rebound, increased bowel sounds and rectal exam revealed liquid stool which tested negative for blood, A diagnosis of acute gastroenteritis was made. The patient was admitted to an isolation unit, blood and stool cultures were reserved and IV fluid therapy commenced. WCC was 10.4 X 109/L, Granulocytes 7.6 X 109/L with left shift. ECG on admission demonstrated right ventricular complexes in the anteroseptal leads but was otherwise unremarkable (Figure 1). A chest X-ray was normal.