Listerial myocarditis as a complication of Listerial meningoencephalitis

Publication date: Available online 4 April 2017 Source:Cor et Vasa Author(s): M. Strnadel, T. Hnátek, R. Havlíček, E. Krčová, M. Malý, M. Zavoral Here, we present a case report of a 53-year-old patient who was admitted for an acute ischaemic stroke. During the hospitalization period, the patient developed meningoencephalitis and acute myocarditis with recurrent episodes of ventricular fibrillation that required defibrillation repeatedly. Listeria monocytogenes was isolated from blood culture samples. The patient was treated with antibiotic therapy and showed a good clinical response. The diagnosis of myocarditis was based on the clinical and ECG presentation (ventricular arrhythmia) and elevation of troponin T level, echocardiography and MRI showed myocardial hypertrophy and pericardial effusion. In the context of this case, it is important to note that the patient suffered from scleroderma and was ambulatory treated with long-term corticosteroid therapy (Medrol 32mg per day).
Source: Cor et Vasa - Category: Cardiology Source Type: research