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
Po-Ren Hsueh, Taiwan University Hospital, National Taiwan University College of Medicine, Taipei, Taiwan.
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.
Accelerated idioventricular rhythm; Community-acquired pneumonia; Klebsiella pneumoniae; Rapidly fatal outcome