An unusual case of fulminant leptospiral myocarditis: a case report

被引：7

作者：

Khoo, Chun Yuan ^{[1
]}

Ng, Choon Ta ^{[1
]}

Zheng, Shuwei ^{[2
]}

Teo, Loon Yee ^{[1
]}

机构：

[1] Natl Heart Ctr, Dept Cardiol, 5 Hosp Dr, Singapore 169609, Singapore

[2] Singapore Gen Hosp, Dept Infect Dis, Singapore 169608, Singapore

来源：

EUROPEAN HEART JOURNAL-CASE REPORTS | 2019年 / 3卷 / 04期

关键词：

Case report; Fulminant leptospirosis; Myocarditis; Extracorporeal membrane oxygenator; Pulse steroids; MANIFESTATIONS;

D O I：

10.1093/ehjcr/ytz180

中图分类号：

R5 [内科学];

学科分类号：

1002 ; 100201 ;

摘要：

Background Fulminant myocarditis secondary to leptospirosis is rare and associated with poor outcomes. Case summary We describe a 60-year-old gentleman with fulminant leptospiral myocarditis and profound cardiogenic shock requiring veno-arterial extracorporeal membrane oxygenator (VA-ECMO) support. He was given high-dose pulse steroids early on post-VA-ECMO implantation and achieved full recovery. To our knowledge, this is the first reported case of leptospiral myocarditis with multiorgan dysfunction successfully managed by VA-ECMO and high-dose pulse steroids. Discussion This case report highlights the potential benefits of steroids in the management of leptospiral myocarditis which requires further validation. Early aggressive supportive management with ECMO should be considered in patients with fulminant leptospiral myocarditis.

引用

页数：5

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