Legionella pneumonia complicated by myocarditis and torsades de pointes: A case report and review of literature.
Legionella infection most commonly manifests as pneumonia. Extrapulmonarylegionellosis is rare, but the clinical manifestations are often dramatic. Myocardialinvolvementis the most common extrapulmonary manifestation of legionellosis and can result in left ventricular dysfunction. We report a case of Legionellapneumopbila-induced myocarditis and acute left ventricular dysfunction with subsequent development of torsades de pointes (TdP) in a young adult with no other risk factors. Early recognition of this complication is paramount as timely initiation of appropriate antibiotics is crucial to ensure full recovery from this form of reversible carditis.
Department of Internal Medicine, Saint Francis Hospital, Hartford, USA. saqibgowani@gmail.com
Saqib Ali
SA
Gowani
Anupam
A
Kumar
Sabeena
S
Arora
Bimalin
B
Lahiri
D000328:Adult; D003937:Diagnosis, Differential; D004452:Echocardiography; D004562:Electrocardiography; D005500:Follow-Up Studies; D006801:Humans; D007877:Legionnaires' Disease / Q000150:complications* / Q000000981:diagnostic imaging; D009205:Myocarditis / Q000150:complications* / Q000175:diagnosis; D013902:Radiography, Thoracic; D016171:Torsades de Pointes / Q000209:etiology* / Q000503:physiopathology