Assuntos
Flutter Atrial/microbiologia , Bloqueio Atrioventricular/microbiologia , Bradicardia/microbiologia , Doença de Lyme/complicações , Doença de Lyme/diagnóstico , Idoso , Antibacterianos/uso terapêutico , Flutter Atrial/fisiopatologia , Flutter Atrial/cirurgia , Bloqueio Atrioventricular/fisiopatologia , Bradicardia/fisiopatologia , Ceftriaxona/uso terapêutico , Diagnóstico Diferencial , Doxiciclina/uso terapêutico , Ecocardiografia , Eletrocardiografia , Teste de Esforço , Feminino , Humanos , Doença de Lyme/tratamento farmacológicoRESUMO
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.
Assuntos
Flutter Atrial/microbiologia , Leptospirose/complicações , Idoso , Flutter Atrial/diagnóstico , Eletrocardiografia , Humanos , Leptospirose/diagnóstico , Masculino , Índice de Gravidade de DoençaRESUMO
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.