title: Atrial flutter complicating severe leptospirosis: a case report.
abstract: Cardiac disturbances are relatively common and electrocardiographic abnormalities may be found in more than 70% of patients with leptospirosis. We report the case of a 68 year-old male with severe leptospirosis who developed atrial flutter. Effective treatment was done with amiodarone. The patient became clinical stable, with complete recovery. Rigorous clinical observation and continuous electrocardiogram (ECG) monitoring may facilitate the identification of rhythm disorders, and thus prevent a probable fatal outcome, in severe cases of leptospirosis.
authors.affiliation: Serviço de Nefrologia, Hospital Geral de Fortaleza, Fortaleza, CE, Brazil.
authors.forename: Francisco Theogenes Macêdo
authors.initials: FT
authors.lastname: Silva
authors.forename: Geraldo Bezerra
authors.initials: GB
authors.lastname: da Silva Junior
authors.forename: André Nunes
authors.initials: AN
authors.lastname: Benevides
authors.forename: Elizabeth De Francesco
authors.initials: Ede F
authors.lastname: Daher
mesh_terms: D000368:Aged; D001282:Atrial Flutter / Q000175:diagnosis / Q000382:microbiology*; D004562:Electrocardiography; D006801:Humans; D007922:Leptospirosis / Q000150:complications* / Q000175:diagnosis; D008297:Male; D012720:Severity of Illness Index