title: Incessant monomorphic ventricular tachycardia associated with pneumococcal meningitis: a case report.
abstract: 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.
authors.affiliation: Deparment of Cardiology, Catholic University of Daegu, Daegu, Korea.
authors.forename: Young Soo
authors.initials: YS
authors.lastname: Lee
authors.forename: Seong Wook
authors.initials: SW
authors.lastname: Han
authors.forename: Kee Sik
authors.initials: KS
authors.lastname: Kim
authors.forename: Yoon Nyun
authors.initials: YN
authors.lastname: Kim
authors.forename: Yong Won
authors.initials: YW
authors.lastname: Cho
mesh_terms: 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