title: A case of severe sinus bradycardia complicating anicteric leptospirosis.
abstract: A potential complication of leptospirosis is cardiovascular involvement. Electrocardiographic abnormalities are frequent. Leptospirosis has been reported to be one of the infectious causes of relative bradycardia, but severe absolute sinus bradycardia has been rarely described as a potential electrocardiographic alteration. We present a case of marked sinus bradycardia (35 bpm) lasting for 4 days in a patient with anicteric leptospirosis and relative bradycardia on admission. Heart rate resolved spontaneously after control of infection by appropriate antibiotic therapy. This case points toward the need for close monitoring of vital signs and electrocardiogram in leptospirosis, especially when relative bradycardia is present on admission.
authors.affiliation: Department of Internal Medicine, School of Medicine, University of Patras, Patras, Greece. sassim@upatras.gr
authors.forename: Stelios F
authors.initials: SF
authors.lastname: Assimakopoulos
authors.forename: Sotiria
authors.initials: S
authors.lastname: Michalopoulou
authors.forename: Christos
authors.initials: C
authors.lastname: Papakonstantinou
authors.forename: Alexandra
authors.initials: A
authors.lastname: Lekkou
authors.forename: Ioulia
authors.initials: I
authors.lastname: Syrokosta
authors.forename: Charalambos
authors.initials: C
authors.lastname: Gogos
mesh_terms: D000328:Adult; D000900:Anti-Bacterial Agents / Q000627:therapeutic use; D001919:Bradycardia / Q000209:etiology*; D004562:Electrocardiography; D006801:Humans; D007922:Leptospirosis / Q000150:complications* / Q000503:physiopathology / Q000628:therapy; D008297:Male
chemical_list: D000900:Anti-Bacterial Agents