The Error Log - Fatal Table Integrity Suspect Error (severity level 22) alarm becomes active when Spotlight Enterprise detects a new fatal error message that contains the log entry 'Severity: 22' in the SQL Server error log. It might indicate that the table or index specified in the message has been damaged by a software or hardware problem.

When this alarm is raised restart the Azure SQL Managed Instance. If the problem is in the cache and not on the disk, the restart will solve the problem. Otherwise, run ‘DBCC CHECKDB’ to determine the extent of the damage.