{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,30]],"date-time":"2026-08-30T20:06:49Z","timestamp":1788120409412,"version":"build-2803163510"},"reference-count":25,"publisher":"Frontiers Media SA","license":[{"start":{"date-parts":[[2025,3,19]],"date-time":"2025-03-19T00:00:00Z","timestamp":1742342400000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":["frontiersin.org"],"crossmark-restriction":true},"short-container-title":["Front. Med."],"abstract":"<jats:p>\n                    <jats:italic>Salmonella enterica<\/jats:italic>\n                    serovar Weltevreden, a non-typhoidal serovar, has emerged as a significant foodborne pathogen, particularly in Southeast Asian countries. While it is commonly associated with gastroenteritis and foodborne outbreaks, it can also lead to invasive infections in immunocompromised adults and neonates. This case report presents a rare instance of myocarditis associated with\n                    <jats:italic>Salmonella<\/jats:italic>\n                    Weltevreden gastroenteritis in a 43-year-old healthy male physician from South India. The patient had a month-long history of intermittent fever, which worsened 2 days before admission, along with myalgia and headache. A day after the admission the patient developed diarrhea. Upon investigation, stool culture revealed\n                    <jats:italic>Salmonella enterica<\/jats:italic>\n                    serovar Weltevreden. Notably, the patient had a genetic predisposition to inflammatory bowel disease and reported recent use of nonsteroidal anti-inflammatory drugs, which may have increased his susceptibility to non-typhoidal\n                    <jats:italic>Salmonella<\/jats:italic>\n                    infection. The patient also developed myocarditis, making this the first reported case of Weltevreden-associated myocarditis in the region. Antimicrobial susceptibility testing indicated ciprofloxacin susceptibility, an increasingly rare finding, as most reported serovar Weltevreden cases exhibit ciprofloxacin resistance. The patient recovered following treatment with ciprofloxacin and was discharged with instructions for follow-up. This case highlights the need for heightened awareness of the potential for non-typhoidal\n                    <jats:italic>Salmonella<\/jats:italic>\n                    infections to cause systemic manifestations, even in individuals without major underlying comorbidities. Continuous monitoring of antimicrobial resistance patterns and strict food safety measures are essential to control outbreaks of these emerging pathogens.\n                  <\/jats:p>","DOI":"10.3389\/fmed.2025.1513974","type":"journal-article","created":{"date-parts":[[2025,3,19]],"date-time":"2025-03-19T03:11:50Z","timestamp":1742353910000},"update-policy":"https:\/\/doi.org\/10.3389\/crossmark-policy","source":"Crossref","is-referenced-by-count":3,"title":["Myocarditis associated with Salmonella enterica serovar Weltevreden gastroenteritis in medical practitioner; case report from South India"],"prefix":"10.3389","volume":"12","author":[{"given":"Mahadevaiah Neelambike","family":"Sumana","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Morubagal Raghavendra","family":"Rao","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Vidyavathi B.","family":"Chitharagi","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Badveti","family":"Satyasai","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Supreeta R.","family":"Shettar","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Veerabhadra G. S.","family":"Swamy","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Chinchana S.","family":"Eshwarappa","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Yogeesh D.","family":"Maheshwarappa","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"1965","published-online":{"date-parts":[[2025,3,19]]},"reference":[{"key":"B1","year":"2018","journal-title":"Salmonella(non-typhoidal)\/Newsroom\/factsheet."},{"key":"B2","doi-asserted-by":"publisher","first-page":"1418221","DOI":"10.3389\/fpubh.2024.1418221","article-title":"Ceftriaxone-resistant Salmonella enterica serovar newport: A case report from South India.","volume":"12","author":"Sumana","year":"2024","journal-title":"Front Public Health."},{"key":"B3","doi-asserted-by":"publisher","first-page":"758","DOI":"10.3390\/vaccines12070758","article-title":"The economic burden of non-typhoidal Salmonella and Invasive non-typhoidal Salmonella Infection: A systematic literature review.","volume":"12","author":"Kim","year":"2024","journal-title":"Vaccines."},{"key":"B4","doi-asserted-by":"publisher","first-page":"503","DOI":"10.4103\/0255-0857.167347","article-title":"Salmonella Weltevreden food poisoning in a tea garden of Assam: An outbreak investigation.","volume":"33","author":"Saikia","year":"2015","journal-title":"Ind J Med Microbiol."},{"key":"B5","doi-asserted-by":"publisher","first-page":"904","DOI":"10.1089\/fpd.2013.1491","article-title":"An outbreak of foodborne gastroenteritis caused by dual pathogens, Salmonella enterica serovar 6. Weltevreden and Vibrio fluvialis in Kolkata, India.","volume":"10","author":"Chowdhury","year":"2013","journal-title":"Foodborne Pathog Dis."},{"key":"B6","doi-asserted-by":"publisher","first-page":"239","DOI":"10.4103\/0971-5916.155595","article-title":"Salmonella enterica serovar Weltevreden ST1500 associated foodborne outbreak in Pune.","volume":"141","author":"Jain","year":"2015","journal-title":"India. Ind J Med Res."},{"key":"B7","doi-asserted-by":"publisher","first-page":"257","DOI":"10.4103\/0255-0857.53211","article-title":"Food poisoning due to Salmonella enterica serotype Weltevreden in Mangalore.","volume":"27","author":"Antony","year":"2009","journal-title":"Ind J Med Microbiol."},{"key":"B8","first-page":"1175","article-title":"Case report. 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An emerging pathogen in Australia?","volume":"6","author":"Grey","year":"2023","journal-title":"Access Microbiol."},{"key":"B11","doi-asserted-by":"publisher","first-page":"67","DOI":"10.1111\/j.1574-6968.2010.02140.x","article-title":"Persistence and spread of Salmonella enterica serovar Weltevreden in soil and on spinach plants.","volume":"314","author":"Arthurson","year":"2011","journal-title":"FEMS Microbiol Lett."},{"key":"B12","doi-asserted-by":"crossref","first-page":"799","DOI":"10.1007\/s11259-022-09900-z","article-title":"Serotyping, antimicrobial resistance profile and virulence genes of Salmonella Serovars isolated from Human, Animals and birds.","volume":"46","author":"Borah","year":"2022","journal-title":"Vet Res Commun."},{"key":"B13","first-page":"18949","article-title":"First report of a Salmonella enterica serovar Weltevreden outbreak on Reunion Island, France, August 2007.","volume":"13","author":"D\u2019ortenzio","year":"2008","journal-title":"Eurosurveillance."},{"key":"B14","doi-asserted-by":"publisher","first-page":"224","DOI":"10.2991\/jegh.k.210404.001","article-title":"Community foodborne of Salmonella weltevreden outbreak at northern governorate, sultanate of Oman.","volume":"11","author":"Al-Maqbali","year":"2021","journal-title":"J Epidemiol Global Health."},{"key":"B15","doi-asserted-by":"publisher","first-page":"317","DOI":"10.1016\/j.ijfoodmicro.2017.10.032","article-title":"Whole genome sequencing analysis of Salmonella enterica serovar Weltevreden isolated from human stool and contaminated food samples collected from the Southern coastal area of China.","volume":"266","author":"Li","year":"2018","journal-title":"Int J Food Microbiol."},{"key":"B16","first-page":"1280","article-title":"Outbreak of gastroenteritis due to Salmonella weltevreden in a hospital.","volume":"64","author":"Chitkara","year":"1976","journal-title":"Indian J Med Res."},{"key":"B17","doi-asserted-by":"publisher","first-page":"175","DOI":"10.1055\/s-0042-1757414","article-title":"Ceftriaxone resistant Salmonella enterica Serovar Kentucky as a cause of bacteremia and gastroenteritis: A case report.","volume":"15","author":"Neelambike","year":"2023","journal-title":"J Lab Phys."},{"key":"B18","doi-asserted-by":"publisher","first-page":"e46699","DOI":"10.7759\/cureus.46699","article-title":"The rise of non-typhoidal Salmonella infections in India: Causes, symptoms, and prevention.","volume":"15","author":"Dudhane","year":"2023","journal-title":"Cureus."},{"key":"B19","doi-asserted-by":"publisher","first-page":"931","DOI":"10.4330\/wjc.v7.i12.931","article-title":"Salmonella Berta myocarditis: Case report and systematic review of non-typhoid Salmonella myocarditis.","volume":"7","author":"Villablanca","year":"2015","journal-title":"World J Cardiol."},{"key":"B20","doi-asserted-by":"publisher","first-page":"omy106","DOI":"10.1093\/omcr\/omy106","article-title":"Salmonella enteritidis causing myocarditis in a previously healthy 22-year-old male.","volume":"2018","author":"Sundbom","year":"2018","journal-title":"Oxf Med Case Rep."},{"key":"B21","doi-asserted-by":"publisher","first-page":"659","DOI":"10.1136\/hrt.31.5.659","article-title":"Salmonella typhimurium pericarditis.","volume":"31","author":"Bird","year":"1969","journal-title":"Br Heart J."},{"key":"B22","doi-asserted-by":"publisher","first-page":"e62135","DOI":"10.7759\/cureus.62135","article-title":"Salmonella Typhimurium Myocarditis in two previously healthy children.","volume":"16","author":"Ladomenou","year":"2024","journal-title":"Cureus."},{"key":"B23","doi-asserted-by":"publisher","first-page":"212","DOI":"10.5694\/mja2.51859","article-title":"Non-typhoidal Salmonella myocarditis: A disease manifestation not to be missed.","volume":"218","author":"Vigneswaran","year":"2023","journal-title":"Med J Aust."},{"key":"B24","doi-asserted-by":"publisher","first-page":"1461","DOI":"10.1017\/S0950268818001462","article-title":"Multistate outbreak of Salmonella Paratyphi B Variant L (+) tartrate (+) and Salmonella Weltevreden infections linked to imported frozen raw tuna: USA, March\u2013July 2015.","volume":"146","author":"Hassan","year":"2018","journal-title":"Epidemiol Infect."},{"key":"B25","doi-asserted-by":"crossref","first-page":"91","DOI":"10.1007\/s11250-024-03932-0","article-title":"Multidrug resistance and virulence gene profile of non typhoidal Salmonella isolates from poultry enteritis in semi-arid region of India.","volume":"56","author":"Sain","year":"2024","journal-title":"Trop. 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