title: Early detection and successful therapy of fulminant chlamydia pneumoniae myocarditis.
abstract: We report a case involving a young female patient with Chlamydia pneumoniae myocarditis who required assist device therapy for acute heart failure. Early diagnosis was provided by endomyocardial biopsy, and tailored antibiotic therapy facilitated quick recovery of myocardial function. This is the first case to report detecting C pneumoniae as the pathogen responsible for fulminant myocarditis while the patient was still alive and to report long-term follow-up data.
authors.affiliation: Department of Cardiac Surgery, Innsbruck Medical University, Innsbruck, Austria.
authors.forename: Daniel
authors.initials: D
authors.lastname: Hoefer
authors.forename: Gerhard
authors.initials: G
authors.lastname: Poelzl
authors.forename: Juliane
authors.initials: J
authors.lastname: Kilo
authors.forename: Christoph
authors.initials: C
authors.lastname: Hoermann
authors.forename: J Ludwig
authors.initials: JL
authors.lastname: Mueller
authors.forename: Guenther
authors.initials: G
authors.lastname: Laufer
authors.forename: Herwig
authors.initials: H
authors.lastname: Antretter
mesh_terms: D000208:Acute Disease; D000328:Adult; D000900:Anti-Bacterial Agents / Q000627:therapeutic use*; D001706:Biopsy; D002443:Ceftriaxone / Q000627:therapeutic use; D016993:Chlamydophila pneumoniae / Q000302:isolation & purification* / Q000472:pathogenicity*; D017548:Echocardiography, Transesophageal; D004917:Erythromycin / Q000627:therapeutic use; D015199:Extracorporeal Membrane Oxygenation / Q000295:instrumentation / Q000379:methods; D005260:Female; D005500:Follow-Up Studies; D006333:Heart Failure / Q000188:drug therapy* / Q000209:etiology / Q000503:physiopathology; D006353:Heart-Assist Devices; D006801:Humans; D009205:Myocarditis / Q000188:drug therapy* / Q000503:physiopathology; D016896:Treatment Outcome; D018487:Ventricular Dysfunction, Left / Q000000981:diagnostic imaging
chemical_list: D000900:Anti-Bacterial Agents; D004917:Erythromycin; D002443:Ceftriaxone