A case of severe sinus bradycardia complicating anicteric leptospirosis.
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.
Assimakopoulos
Stelios F
SF
Department of Internal Medicine, School of Medicine, University of Patras, Patras, Greece. sassim@upatras.gr
Michalopoulou
Sotiria
S
Papakonstantinou
Christos
C
Lekkou
Alexandra
A
Syrokosta
Ioulia
I
Gogos
Charalambos
C
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
D000900:Anti-Bacterial Agents