title: [Acute cardiac insufficiency and toxoplasmosis].
abstract: The authors report the case of a 21-year old, non-immunocompromised girl who presented with severe acute heart failure associated with Toxoplasma infection. The outcome was favourable: cure without sequelae was obtained in a few months with a symptomatic and specific treatment consisting of spiramycin and methylprednisolone. This case is interesting for several reasons. The occurrence of such an acute heart disease is extremely rare in patients with toxoplasmic myocarditis, and so is the presence of a septal focus suspected on the basis of a predominantly septal hypokinesia at echocardiography and of enzymatic changes. The development of an acute heart failure should suggest a diagnosis of toxoplasmic myocarditis, which is rare but important since a specific treatment is available.
authors.affiliation: Service de médecine interne, Hôpital Saint-André, Bordeaux.
authors.forename: J P
authors.initials: JP
authors.lastname: Guillot
authors.forename: J
authors.initials: J
authors.lastname: Beylot
authors.forename: K
authors.initials: K
authors.lastname: Turner
authors.forename: D
authors.initials: D
authors.lastname: Lacoste
authors.forename: C
authors.initials: C
authors.lastname: Gabinski
authors.forename: P
authors.initials: P
authors.lastname: Besse
mesh_terms: D000208:Acute Disease; D000328:Adult; D002303:Cardiac Output, Low / Q000209:etiology* / Q000503:physiopathology; D004452:Echocardiography; D004562:Electrocardiography; D005260:Female; D006801:Humans; D009205:Myocarditis / Q000150:complications* / Q000209:etiology; D014123:Toxoplasmosis / Q000150:complications*
vernacular_title: Insuffisance cardiaque aiguë et toxoplasmose.