PMID: 9194541Jun 1, 1997Paper

Cholera and myocarditis--a case report

Angiology
F LeonC Calleja

Abstract

The authors describe the case of a fifty-nine-year-old white man, previously in good health, who initiated his present illness with acute episode of enterocolitis characterized by mild fever and, in the next eight hours, twenty-four episodes of watery diarrhea, nausea and vomiting, as well as generalized sweating and severe weakness secondary to hypovolemia and electrolyte disorder. These complications were corrected in seventy-two hours in the intensive care unit. Two days later, when the patient was stable hemodynamically, under cardiac monitoring and with normal laboratory studies including serum electrolytes, he developed electrocardiographic changes characterized by trifascicular block (prolonged P-R interval, complete right bundle branch block [CRBBB] and left posterior hemiblock [LPH]) with a cardiac rate of thirty beats per minute, for which a temporary pacemaker was inserted. Endomyocardial biopsy showed histopathologic signs of myocarditis and the immunologic study of the cardiac tissue revealed positive polymerize chain reaction (PCR+) with the presence of antitoxine choleric antibodies (AcTCA). After three weeks, the same conduction disturbances remained, for which a permanent pacemaker was inserted. On top of intra...Continue Reading

References

Feb 1, 1992·Molecular Microbiology·V J DiRita

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Citations

Jun 28, 2006·Pediatric Emergency Care·Yi-Jung ChangDah-Chin Yan
Jun 26, 2007·Circulation Journal : Official Journal of the Japanese Circulation Society·Kazuhiko UwabeMasanori Harada

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