Fulminant myocarditis caused by Legionella pneumophila: case report
| Autor: | Nuno Banazol, Luís Miranda, José Fragata, Ana Filipa Damásio, João Colaço, Pedro Coelho, Luís Monteiro Rodrigues |
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| Rok vydání: | 2013 |
| Předmět: |
Adult
lcsh:Diseases of the circulatory (Cardiovascular) system medicine.medical_specialty Myocarditis Fulminant medicine.medical_treatment Azithromycin Legionella pneumophila Internal medicine medicine Extracorporeal membrane oxygenation Humans Legionella pneumophila Serogroup 1 General Environmental Science biology business.industry Cardiogenic shock bacterial infections and mycoses medicine.disease biology.organism_classification respiratory tract diseases lcsh:RC666-701 Immunology Etiology Cardiology General Earth and Planetary Sciences Female Legionnaires' Disease business medicine.drug |
| Zdroj: | Revista Portuguesa de Cardiologia (English Edition), Vol 33, Iss 3, Pp 185.e1-185.e5 (2014) |
| ISSN: | 2174-2030 |
| Popis: | Myocarditis is defined as inflammation of the myocardium. The clinical manifestations of myocarditis vary from flu-like symptoms to fatal fulminant forms.We report the case of a 39-year-old woman with a diagnosis of cardiogenic shock caused by fulminant myocarditis. Extracorporeal membrane oxygenation was used as a bridge to recovery.Etiological study revealed Legionella pneumophila serogroup 1 infection.Recovery of biventricular function was seen after treatment with azithromycin. Resumo: A miocardite é uma doença inflamatória do miocárdio. Pode-se apresentar de forma subtil ou fulminante.Apresenta-se o caso duma mulher de 39 anos com choque cardiogénico no contexto de miocardite fulminante, com necessidade de colocação de membrana de oxigenação extracorporal artério-venosa como ponte para a recuperação. O estudo etiológico revelou infeção por legionella pneumophila do serogrupo 1. Após início de antibioterapia com azitromicina endovenosa verificou-se recuperação da função biventricular. Keywords: Myocarditis, Cardiogenic shock, Legionella pneumophila, Extracorporeal membrane oxygenation, Palavras-chave: Miocardite, Choque cardiogénico, Legionella pneumophila, Membrana de oxigenação extracorporal |
| Databáze: | OpenAIRE |
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