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Revista da Sociedade Brasileira de Medicina Tropical

Print version ISSN 0037-8682

Abstract

SILVA, Francisco Theogenes Macêdo; SILVA JUNIOR, Geraldo Bezerra da; BENEVIDES, André Nunes  and  DAHER, Elizabeth De Francesco. Atrial flutter complicating severe leptospirosis: a case report. Rev. Soc. Bras. Med. Trop. [online]. 2013, vol.46, n.2, pp.246-248. ISSN 0037-8682.  http://dx.doi.org/10.1590/0037-8682-1739-2013.

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.

Keywords : Leptospirosis; Weil syndrome; Arrhythmia; Atrial flutter; Electrocardiogram.

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