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[Acute myocarditis disclosing leptospirosis].

J Y Artigou, J P Chauvet, F Clergue

    Annales De Cardiologie Et D'Angeiologie
    |July 1, 1986
    PubMed
    Summary

    A severe case of leptospirosis caused acute myocarditis and cardiogenic shock in a 44-year-old patient. While the patient recovered, residual left ventricular dysfunction progressed to dilated cardiomyopathy over three years.

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    Area of Science:

    • Cardiology
    • Infectious Diseases
    • Pathology

    Background:

    • Acute myocarditis can lead to cardiogenic shock.
    • Leptospirosis is a bacterial infection with diverse clinical manifestations.
    • Dilated cardiomyopathy is a common consequence of myocardial injury.

    Observation:

    • A 44-year-old patient presented with acute myocarditis and cardiogenic shock.
    • The patient had advanced ictero-hemorrhagic leptospirosis.
    • Myocarditis severity and leptospirosis presentation were notable.

    Findings:

    • The patient's condition improved, but with residual left ventricular dysfunction.
    • Over three years, the dysfunction evolved into dilated cardiomyopathy.
    • Leptospirosis was confirmed as the cause of the myocarditis.

    Implications:

    • This case highlights leptospirosis as a potential cause of severe myocarditis and cardiogenic shock.
    • Long-term cardiac monitoring is crucial for patients with leptospirosis-induced myocarditis.
    • Understanding unusual presentations of infectious diseases is vital for clinical practice.

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