Rapidly fatal community-acquired pneumonia due to Klebsiella pneumoniae complicated with acute myocarditis and accelerated idioventricular rhythm

J Microbiol Immunol Infect. 2012 Aug;45(4):321-3. doi: 10.1016/j.jmii.2011.09.014. Epub 2011 Dec 6.

Abstract

We describe a previously healthy 52-year-old man with rapidly fatal community-acquired pneumonia caused by Klebsiella pneumoniae. The patient developed acute renal dysfunction, accelerated idioventricular rhythm (acute myocarditis), lactic acidosis and septic shock. He died within 15 hours after admission despite intravenous levofloxacin (750 mg daily) and aggressive medical treatment.

Publication types

  • Case Reports

MeSH terms

  • Accelerated Idioventricular Rhythm / complications
  • Accelerated Idioventricular Rhythm / drug therapy*
  • Accelerated Idioventricular Rhythm / physiopathology
  • Acidosis, Lactic / complications
  • Acidosis, Lactic / drug therapy
  • Acidosis, Lactic / physiopathology
  • Acute Disease
  • Community-Acquired Infections / complications
  • Community-Acquired Infections / drug therapy*
  • Community-Acquired Infections / physiopathology
  • Electrocardiography
  • Fatal Outcome
  • Humans
  • Intensive Care Units
  • Klebsiella pneumoniae / drug effects
  • Klebsiella pneumoniae / isolation & purification
  • Klebsiella pneumoniae / pathogenicity*
  • Levofloxacin
  • Male
  • Middle Aged
  • Myocarditis / complications
  • Myocarditis / drug therapy*
  • Myocarditis / physiopathology
  • Ofloxacin / therapeutic use
  • Pneumonia, Bacterial / complications
  • Pneumonia, Bacterial / drug therapy
  • Pneumonia, Bacterial / physiopathology*
  • Shock, Septic / complications
  • Shock, Septic / drug therapy
  • Shock, Septic / physiopathology

Substances

  • Levofloxacin
  • Ofloxacin