Sinoatrial block complicating legionnaire's disease.
A 59 year old woman presented with acute onset of fever, chills, diaphoresis, vague chest discomfort, and was found to be hypotensive and tachypnoeic. An electrocardiogram demonstrated sinoatrial block with a junctional rhythm between 50 and 80 beats/min. All cultures were negative and imaging studies unrevealing. Her urine tested positive for Legionella pneumophila antigen serotype 1 and she improved with antibiotic therapy.
Medarov
B
B
Division of Pulmonary and Critical Care Medicine, Long Island Jewish Medical Centre, The Long Island Campus of the Albert, 410 Lakeville Road, Suite 203, New Hyde Park, NY 11040, USA.
Tongia
S
S
Rossoff
L
L
D000900:Anti-Bacterial Agents / Q000627:therapeutic use; D004562:Electrocardiography; D005260:Female; D006801:Humans; D007877:Legionnaires' Disease / Q000150:complications* / Q000175:diagnosis / Q000188:drug therapy; D008875:Middle Aged; D012848:Sinoatrial Block / Q000382:microbiology*
D000900:Anti-Bacterial Agents