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A Human Fallopian Tube Model for Investigation of C. trachomatis Infections
Published on: August 11, 2012
[Chlamydia infection: An uncommon cause of sexually transmitted myopericarditis]
F Mouquet1, M Jourdain2, P Desprez2
1Soins intensifs cardiologiques, polyclinique du Bois, 59000 Lille, France.
Insights
Chlamydia trachomatis can cause myopericarditis, a rare heart inflammation. Prompt diagnosis and antibiotic treatment with levofloxacin led to full recovery in a patient with acute coronary syndrome symptoms.
Area of Science:
- Cardiology
- Infectious Diseases
Background:
- Myopericarditis is typically viral.
- Chlamydia trachomatis is a common cause of reproductive tract infections.
Observation:
- A 46-year-old woman presented with symptoms of acute coronary syndrome on two separate occasions.
- Coronary angiography revealed normal coronary arteries.
- Cardiac magnetic resonance imaging and laboratory tests indicated myopericarditis.
Findings:
- The patient's myopericarditis was diagnosed as being caused by Chlamydia trachomatis infection.
- Treatment with levofloxacin resulted in a complete recovery.
Implications:
- Chlamydia trachomatis can cause cardiac inflammation (myopericarditis), though rarely reported.
- Early identification and specific antibiotic therapy are crucial for managing chlamydial myopericarditis.
Introduction:
The vast majority of myopericarditis are thought to be caused by viral infection.
Case Report:
We here report a 46-year-old woman who was admitted twice for clinical presentations compatible with acute coronary syndromes despite normal coronary arteries at angiography. Diagnosis of myopericarditis caused by Chlamydia trachomatis was based on cardiac magnetic resonance and laboratory findings. Treatment with levofloxacin allowed for a full recovery.
Conclusion:
Chlamydia trachomatis infections affect young, sexually active individuals and are responsible for a large proportion of salpingitis, ectopic pregnancy or infertility. Myopericarditis in the setting of chlamydial infection has been seldom reported. Its identification is needed allowing for a specific treatment.
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