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[Legionella myopericarditis].

M Ghannem1, T Paule, M Gabrovescu

  • 1Unité d'hémodynamique et de cardiologie interventionnelle, centre de réadaptation cardiovasculaire Léopold-Bellan-d'Ollencourt, Tracy Le Mont.

Archives Des Maladies Du Coeur Et Des Vaisseaux
|September 27, 2000
PubMed
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Legionella infection can rarely affect the heart, causing myopericarditis. This case study shows complete recovery of heart function after treatment for this rare Legionnaires

Area of Science:

  • Cardiology
  • Infectious Diseases

Background:

  • Cardiac involvement in Legionella infection is uncommon, typically presenting as pericarditis.
  • Myopericarditis, an inflammation of the heart muscle and pericardium, is a rare extra-pulmonary manifestation of Legionnaires' disease.

Observation:

  • A case of severe myopericarditis with global left ventricular hypokinesia, massive pulmonary edema, and respiratory distress was observed.
  • The patient's condition was likely acquired during a prior hospital admission, suggesting a nosocomial origin.

Findings:

  • Echocardiography revealed significant left ventricular hypokinesia and chamber dilatation.
  • Clinical and echocardiographic parameters improved significantly following treatment, with complete recovery of left ventricular function.
  • Legionellosis was confirmed serologically, supporting the diagnosis.

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Implications:

  • This case highlights the potential for severe cardiac complications from Legionella, even in the absence of typical pneumonia.
  • Successful treatment and recovery underscore the importance of considering Legionnaires' disease in unexplained myopericarditis, especially in hospitalized patients.
  • Further literature review is warranted to better understand and manage cardiac manifestations of Legionella.