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Volume 45, Number 4, August 2012

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


Tzu-Yi Chuang, Chou-Jui Lin, Shih-Wei Lee, Chun-Pin Chuang, Yuh-Shiun Jong, Wen-Jone Chen, Po-Ren Hsueh


Received: December 22, 2010    Revised: January 21, 2011    Accepted: February 20, 2011   

 

Corresponding author:

Po-Ren Hsueh, Taiwan University Hospital, National Taiwan University College of Medicine, Taipei, Taiwan.

E-mail address: hsporen@ntu.edu.tw (P.-R. Hsueh).


 

Background and purpose: 

 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.



 

Key words:

 Accelerated idioventricular rhythm; Community-acquired pneumonia; Klebsiella pneumoniae; Rapidly fatal outcome