Dysfonction myocardique aigue au cours de la septicemie a meningocoques. [Acute myocardial dysfunction in meningococcal septicemia]

Details

Serval ID
serval:BIB_40B628DC6C5A
Type
Article: article from journal or magazin.
Publication sub-type
Case report (case report): feedback on an observation with a short commentary.
Collection
Publications
Institution
Title
Dysfonction myocardique aigue au cours de la septicemie a meningocoques. [Acute myocardial dysfunction in meningococcal septicemia]
Journal
Schweizerische Medizinische Wochenschrift
Author(s)
Horisberger  J. D., Depeursinge  F., Portmann  L., Perret  C.
ISSN
0036-7672 (Print)
Publication state
Published
Issued date
02/1985
Volume
115
Number
8
Pages
281-4
Notes
Case Reports
English Abstract
Journal Article --- Old month value: Feb 23
Abstract
A progressive myocardial dysfunction is known to occur in prolonged septic shock. The cases of two patients with acute meningococcal infection and Waterhouse-Friderichsen syndrome are reported. Hemodynamic measurements showed, in the early stage, the classical picture of hyperdynamic septic shock, with increased cardiac output and low systemic vascular resistances. However, rapidly progressive cardiac failure then occurred, with high filling pressures and low cardiac output. One patient went into irreversible shock. In the other the administration of inotropic agents was beneficial, with a slow but progressive improvement in left ventricular function over several weeks. Acute myocarditis has been frequently observed in patients with meningococcal infections. It is suggested that the acute myocardial failure observed in those circumstances is caused by the myocarditis.
Keywords
Acute Disease Adult Blood Pressure/drug effects Cardiac Output/drug effects Cardiomyopathies/drug therapy/*etiology Dobutamine/therapeutic use Dopamine/therapeutic use Female Heart Catheterization Hemodynamic Processes Humans Male Meningococcal Infections/*complications Shock, Septic/etiology
Pubmed
Web of science
Create date
24/01/2008 12:38
Last modification date
20/08/2019 13:39
Usage data