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Related Concept Videos

Endocarditis II: Clinical Features of Infective Endocarditis01:25

Endocarditis II: Clinical Features of Infective Endocarditis

Endocarditis can present various clinical features depending on the causative organism and the patient's underlying health conditions. Initially, the clinical features of infective endocarditis develop gradually, presenting with nonspecific symptoms that can be easily mistaken for other illnesses.General SymptomsEarly symptoms of infective endocarditis are fever, chills, weakness, malaise, fatigue, and weight loss. These symptoms reflect the systemic nature of the infection and the body's...
Rheumatic Heart Disease I: Introduction01:23

Rheumatic Heart Disease I: Introduction

Rheumatic heart disease or RHD is a chronic condition that results from rheumatic fever, causing permanent damage to the heart valves.Etiology and Risk FactorsIt primarily arises from rheumatic fever, an inflammatory disease that can develop after untreated or inadequately treated group A streptococcal (GAS) pharyngitis. Streptococcus spreads through direct contact with oral or respiratory secretions. While the bacteria are the causative agents, factors like malnutrition, overcrowding, poor...
Rheumatic Heart Disease II: Clinical Manifestations and Diagnostic Studies01:22

Rheumatic Heart Disease II: Clinical Manifestations and Diagnostic Studies

The key clinical manifestations of Rheumatic heart disease (RHD) include several distinct cardiac symptoms.Carditis, a hallmark of acute rheumatic fever, involves inflammation of the heart's endocardium, myocardium, and pericardium. Chronic RHD often results from recurrent episodes of carditis. Its symptoms include the following:Murmurs are caused by valvular damage, especially to the mitral and aortic valves. Mitral stenosis or regurgitation is common, with characteristic heart murmurs...
Bacterial Phylum Spirochaetes01:30

Bacterial Phylum Spirochaetes

Spirochetes, unique bacteria in the phylum Spirochaetes, are gram-negative, motile, tightly coiled, slender, and flexible. They inhabit aquatic sediments and animals, with some causing diseases like syphilis. Spirochetes are classified into eight genera based on habitat, pathogenicity, phylogeny, and characteristics.Their distinctive motility arises from endoflagella, located within the cell’s periplasm. These endoflagella anchor at the cell poles and extend along the cell length, encased by a...
Endocarditis IV: Nursing Management01:29

Endocarditis IV: Nursing Management

Infective endocarditis (IE) is a chronic infection of the heart's endocardium, primarily affecting the heart valves. A detailed nursing assessment for a patient with IE involves collecting subjective and objective data to ensure an accurate diagnosis and timely intervention.Subjective DataThe nurse gathers information about the patient's symptoms and complaints during the subjective assessment. Patients with infective endocarditis often report non-specific symptoms that can mimic other...
Endocarditis I: Introduction01:25

Endocarditis I: Introduction

Introduction:Endocarditis is the infection of the endocardium, the inner lining of the heart and its valves. When the heart muscle is involved, the condition is termed myocarditis, while an infection of the outer lining is called pericarditis. Infective endocarditis (IE) primarily affects the endocardium, where pathogens adhere to the valves or lining, forming vegetation that can lead to severe complications. Infective endocarditis occurs when microorganisms, usually bacteria from other body...

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A Modular Workflow for Quantitative, Structural and Functional Analysis of Leptospira Biofilms
08:51

A Modular Workflow for Quantitative, Structural and Functional Analysis of Leptospira Biofilms

Published on: December 19, 2025

Atrial flutter complicating severe leptospirosis: a case report.

Francisco Theogenes Macêdo Silva1, Geraldo Bezerra da Silva Junior, André Nunes Benevides

  • 1Serviço de Nefrologia, Hospital Geral de Fortaleza, Fortaleza, CE, Brazil.

Revista Da Sociedade Brasileira De Medicina Tropical
|June 7, 2013
PubMed
Summary

Severe leptospirosis can cause cardiac arrhythmias like atrial flutter. Prompt electrocardiogram (ECG) monitoring and amiodarone treatment led to a patient

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Last Updated: May 10, 2026

A Modular Workflow for Quantitative, Structural and Functional Analysis of Leptospira Biofilms
08:51

A Modular Workflow for Quantitative, Structural and Functional Analysis of Leptospira Biofilms

Published on: December 19, 2025

Area of Science:

  • Infectious Diseases
  • Cardiology
  • Internal Medicine

Background:

  • Leptospirosis is an infectious disease with frequent cardiac complications.
  • Electrocardiographic abnormalities are present in over 70% of leptospirosis patients.
  • Atrial flutter is a serious cardiac arrhythmia that can occur in severe leptospirosis.

Purpose of the Study:

  • To report a case of severe leptospirosis presenting with atrial flutter.
  • To highlight the importance of continuous electrocardiogram (ECG) monitoring in severe leptospirosis.
  • To demonstrate the efficacy of amiodarone in treating cardiac arrhythmias in leptospirosis.

Main Methods:

  • Case report of a 68-year-old male with severe leptospirosis.
  • Continuous electrocardiogram (ECG) monitoring for rhythm disorders.
  • Treatment of atrial flutter with amiodarone.

Main Results:

  • The patient developed atrial flutter, a significant cardiac disturbance.
  • Amiodarone effectively treated the atrial flutter.
  • The patient achieved clinical stability and complete recovery.

Conclusions:

  • Continuous ECG monitoring is crucial for identifying rhythm disorders in severe leptospirosis.
  • Early detection and treatment of cardiac arrhythmias can prevent fatal outcomes.
  • Amiodarone is an effective treatment option for atrial flutter in leptospirosis patients.