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Sinoatrial block complicating legionnaire's disease
B Medarov1, S Tongia, L Rossoff
1Division of Pulmonary and Critical Care Medicine, Long Island Jewish Medical Centre, The Long Island Campus of the Albert, 410 Lakeville Road, Suite 203, New Hyde Park, NY 11040, USA.
Postgraduate Medical Journal
|December 5, 2003
Summary
A 59-year-old woman experienced Legionnaires' disease, a severe pneumonia caused by Legionella pneumophila. Prompt antibiotic treatment led to her recovery.
Area of Science:
- Infectious Diseases
- Cardiology
- Pulmonology
Background:
- Legionnaires' disease is a severe pneumonia caused by Legionella pneumophila.
- It can present with diverse symptoms, including cardiac manifestations.
Observation:
- A 59-year-old woman presented with acute fever, chills, diaphoresis, and chest discomfort.
- She was hypotensive and tachypnoeic with sinoatrial block and junctional rhythm on ECG.
Findings:
- Urine antigen testing confirmed Legionella pneumophila serotype 1.
- Blood cultures and imaging studies were unremarkable.
Implications:
- This case highlights the importance of considering Legionnaires' disease in patients with atypical presentations, including cardiac abnormalities.
- Early diagnosis and antibiotic therapy are crucial for favorable outcomes in Legionnaires' disease.