title: Fulminant myocarditis caused by Legionella pneumophila: case report.
abstract: Myocarditis is defined as inflammation of the myocardium. The clinical manifestations of myocarditis vary from flu-like symptoms to fatal fulminant forms. We report the case of a 39-year-old woman with a diagnosis of cardiogenic shock caused by fulminant myocarditis. Extracorporeal membrane oxygenation was used as a bridge to recovery. Etiological study revealed Legionella pneumophila serogroup 1 infection. Recovery of biventricular function was seen after treatment with azithromycin.
authors.affiliation: Serviço de Cardiologia, Hospital Espírito Santo de Évora, EPE, Évora, Portugal. Electronic address: anafilipadamasio@gmail.com.
authors.forename: Ana Filipa
authors.initials: AF
authors.lastname: Damásio
authors.affiliation: Serviço de Cirurgia Cardíaca, Hospital de Santa Marta, Lisboa, Portugal.
authors.forename: Luís
authors.initials: L
authors.lastname: Rodrigues
authors.affiliation: Serviço de Cirurgia Cardíaca, Hospital de Santa Marta, Lisboa, Portugal.
authors.forename: Luís
authors.initials: L
authors.lastname: Miranda
authors.affiliation: Serviço de Cirurgia Cardíaca, Hospital de Santa Marta, Lisboa, Portugal.
authors.forename: Pedro
authors.initials: P
authors.lastname: Coelho
authors.affiliation: Serviço de Cirurgia Cardíaca, Hospital de Santa Marta, Lisboa, Portugal.
authors.forename: Nuno
authors.initials: N
authors.lastname: Banazol
authors.affiliation: Unidade de Cuidados Intensivos, Hospital Beatriz Ângelo, Loures, Portugal.
authors.forename: João
authors.initials: J
authors.lastname: Colaço
authors.affiliation: Serviço de Cirurgia Cardíaca, Hospital de Santa Marta, Lisboa, Portugal.
authors.forename: José
authors.initials: J
authors.lastname: Fragata
mesh_terms: D000328:Adult; D005260:Female; D006801:Humans; D007877:Legionnaires' Disease; D009205:Myocarditis / Q000382:microbiology*
keywords: Cardiogenic shock; Choque cardiogénico; Extracorporeal membrane oxygenation; Legionella pneumophila; Membrana de oxigenação extracorporal; Miocardite; Myocarditis