Atrial flutter complicating severe leptospirosis: a case report

• Autor(a) principal: Silva,Francisco Theogenes Macêdo
• Data de Publicação: 2013
• Outros Autores: Silva Junior,Geraldo Bezerra da, Benevides,André Nunes, Daher,Elizabeth De Francesco
• Tipo de documento: Relatório
• Idioma: eng
• Título da fonte: Revista da Sociedade Brasileira de Medicina Tropical
• Texto Completo: http://old.scielo.br/scielo.php?script=sci_arttext&pid=S0037-86822013000200246
• topic: Leptospirosis; Weil syndrome; Arrhythmia; Atrial flutter; Electrocardiogram

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.