title: Rapidly fatal community-acquired pneumonia due to Klebsiella pneumoniae complicated with acute myocarditis and accelerated idioventricular rhythm.
abstract: We describe a previously healthy 52-year-old man with rapidly fatal community-acquired pneumonia caused by Klebsiella pneumoniae. The patient developed acute renal dysfunction, accelerated idioventricular rhythm (acute myocarditis), lactic acidosis and septic shock. He died within 15 hours after admission despite intravenous levofloxacin (750 mg daily) and aggressive medical treatment.
authors.affiliation: Department of Internal Medicine, Tao-Yuan General Hospital, Department of Health, Executive Yuan, Taiwan.
authors.forename: Tzu-Yi
authors.initials: TY
authors.lastname: Chuang
authors.forename: Chou-Jui
authors.initials: CJ
authors.lastname: Lin
authors.forename: Shih-Wei
authors.initials: SW
authors.lastname: Lee
authors.forename: Chun-Pin
authors.initials: CP
authors.lastname: Chuang
authors.forename: Yuh-Shiun
authors.initials: YS
authors.lastname: Jong
authors.forename: Wen-Jone
authors.initials: WJ
authors.lastname: Chen
authors.forename: Po-Ren
authors.initials: PR
authors.lastname: Hsueh
mesh_terms: D016170:Accelerated Idioventricular Rhythm / Q000150:complications / Q000188:drug therapy* / Q000503:physiopathology; D000140:Acidosis, Lactic / Q000150:complications / Q000188:drug therapy / Q000503:physiopathology; D000208:Acute Disease; D017714:Community-Acquired Infections / Q000150:complications / Q000188:drug therapy* / Q000503:physiopathology; D004562:Electrocardiography; D017809:Fatal Outcome; D006801:Humans; D007362:Intensive Care Units; D007711:Klebsiella pneumoniae / Q000187:drug effects / Q000302:isolation & purification / Q000472:pathogenicity*; D064704:Levofloxacin; D008297:Male; D008875:Middle Aged; D009205:Myocarditis / Q000150:complications / Q000188:drug therapy* / Q000503:physiopathology; D015242:Ofloxacin / Q000627:therapeutic use; D018410:Pneumonia, Bacterial / Q000150:complications / Q000188:drug therapy / Q000503:physiopathology*; D012772:Shock, Septic / Q000150:complications / Q000188:drug therapy / Q000503:physiopathology
chemical_list: D064704:Levofloxacin; D015242:Ofloxacin