title: Fatal leptospiral myocarditis.
abstract: Clinical, instrumental and post-mortem studies were carried out in a patient with intractable cardiac failure, whose death was attribute to Weil's syndrome. A post-mortem examination showed the presence of numerous petechiae on the heart layers and diffuse lymphomonocytic infiltrates in the myocardium, epicardium and endocardium. We suggest that in patients affected by leptospirosis--an endemic disease with a possible fatal outcome--it is necessary to determine carefully any involvement of the cardiovascular system which may play a determinant role in the evolution of the disease.
authors.affiliation: Cattedra di Angiologia, Università di Roma, La Sapienza.
authors.forename: L
authors.initials: L
authors.lastname: De Biase
authors.forename: G
authors.initials: G
authors.lastname: De Curtis
authors.forename: S
authors.initials: S
authors.lastname: Paparoni
authors.forename: D
authors.initials: D
authors.lastname: Sciarra
authors.forename: P P
authors.initials: PP
authors.lastname: Campa
mesh_terms: D006333:Heart Failure / Q000209:etiology* / Q000473:pathology; D006801:Humans; D008297:Male; D008875:Middle Aged; D009206:Myocardium / Q000473:pathology; D014895:Weil Disease / Q000150:complications* / Q000473:pathology