title: [Ictero-haemorrhagic leptospirosis with a cardiac presentation in a patient returning from an endemic zone].
abstract: On returning from a tropical area, the occurrence of rapidly evolving cardiogenic shock in an infectious context should quickly suggest the diagnosis, for which specific treatment can affect the outcome. The dramatic case of a young female presenting with ictero-haemorrhagic leptospirosis diagnosed post-mortem, demonstrated this pathology with the unusual association of complete atrio-ventricular block and myocarditis in a haemorrhagic context.
authors.affiliation: Service de cardiologie, hôpital d'instruction des Armées Desgenettes, 69275 Lyon 03. hiad.cardio@fr.oleane.com
authors.forename: J R
authors.initials: JR
authors.lastname: Caignault
authors.forename: P
authors.initials: P
authors.lastname: Staat
authors.forename: B
authors.initials: B
authors.lastname: Poncet
authors.forename: T
authors.initials: T
authors.lastname: Ferry
authors.forename: E
authors.initials: E
authors.lastname: Bonnefoy
authors.forename: G
authors.initials: G
authors.lastname: Kirkorian
mesh_terms: D000328:Adult; D019353:Endemic Diseases; D017809:Fatal Outcome; D005260:Female; D006327:Heart Block / Q000382:microbiology*; D006801:Humans; D009205:Myocarditis / Q000382:microbiology*; D009549:Nigeria / Q000208:ethnology; D014329:Tropical Climate; D014895:Weil Disease / Q000175:diagnosis*