[Cough syncope caused by a possible Chlamydia pneumoniae pneumonia].
We report the case of a 61-year-old man who presented with coughing fits followed by sinus pauses and syncope. Cardiac and neurological diagnostic work-up was negative and the patient was considered to have cough syncope. As this occurred within the context of febrile pneumonia, an infectious disease was suspected but diagnostic work-up only revealed an increase of antibodies against Chlamydia pneumoniae. The responsibility of this agent is discussed. Clinical recovery was obtained with the prescription of antitussive medication.
Cinotti
R
R
Département de cardiologie et maladies vasculaires, centre hospitalo-universtaire de Rennes, 2, rue Henri-Le-Guilloux, 35033 Rennes cedex 09, France. raph.cinotti@gmail.com
Moubarak
G
G
Gervais
R
R
Mabo
P
P
D000900:Anti-Bacterial Agents / Q000627:therapeutic use; D000907:Antibodies, Bacterial / Q000032:analysis; D000996:Antitussive Agents / Q000627:therapeutic use; D015153:Blotting, Western; D002690:Chlamydia Infections; D023521:Chlamydophila Infections / Q000150:complications* / Q000175:diagnosis / Q000188:drug therapy / Q000276:immunology; D016993:Chlamydophila pneumoniae / Q000276:immunology; D003371:Cough / Q000150:complications* / Q000188:drug therapy / Q000209:etiology; D004562:Electrocardiography; D004630:Emergencies; D005500:Follow-Up Studies; D006801:Humans; D007074:Immunoglobulin G / Q000032:analysis; D008297:Male; D008875:Middle Aged; D018410:Pneumonia, Bacterial / Q000150:complications* / Q000175:diagnosis / Q000188:drug therapy / Q000276:immunology / Q000382:microbiology; D012008:Recurrence; D015575:Roxithromycin / Q000627:therapeutic use; D013575:Syncope / Q000209:etiology*; D013997:Time Factors; D016896:Treatment Outcome
D000900:Anti-Bacterial Agents; D000907:Antibodies, Bacterial; D000996:Antitussive Agents; D007074:Immunoglobulin G; D015575:Roxithromycin