Incessant monomorphic ventricular tachycardia associated with pneumococcal meningitis: a case report.
A 22-year-old man with incessant ventricular tachycardia (VT) associated with pneumococcal meningitis without obvious heart disease manifesting as febrile sensation and severe headache visited our emergency department. Initial electrocardiography showed ventricular premature couplets, but the rhythm grew more serious and developed into incessant monomorphic VT resulting in an electrical storm. After examining the cerebrospinal fluid, bacterial meningitis was suspected. The electrical storm ended 21 hr after he had received conservative treatment for meningitis. Streptococcus pneumonia was cultured from the cerebrospinal fluid. No VT was observed during the remainder of the hospital stay and could not be induced in the electrophysiological study.
Lee
Young Soo
YS
Deparment of Cardiology, Catholic University of Daegu, Daegu, Korea.
Han
Seong Wook
SW
Kim
Kee Sik
KS
Kim
Yoon Nyun
YN
Cho
Yong Won
YW
D000328:Adult; D002037:Bundle-Branch Block / Q000503:physiopathology / Q000628:therapy; D004554:Electric Countershock; D004562:Electrocardiography; D006801:Humans; D008297:Male; D008586:Meningitis, Pneumococcal / Q000150:complications*; D017180:Tachycardia, Ventricular / Q000150:complications* / Q000503:physiopathology* / Q000628:therapy