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

Détails

ID Serval
serval:BIB_40B628DC6C5A
Type
Article: article d'un périodique ou d'un magazine.
Sous-type
Etude de cas (case report): rapporte une observation et la commente brièvement.
Collection
Publications
Institution
Titre
Dysfonction myocardique aigue au cours de la septicemie a meningocoques. [Acute myocardial dysfunction in meningococcal septicemia]
Périodique
Schweizerische Medizinische Wochenschrift
Auteur(s)
Horisberger  J. D., Depeursinge  F., Portmann  L., Perret  C.
ISSN
0036-7672 (Print)
Statut éditorial
Publié
Date de publication
02/1985
Volume
115
Numéro
8
Pages
281-4
Notes
Case Reports
English Abstract
Journal Article --- Old month value: Feb 23
Résumé
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.
Mots-clé
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
Création de la notice
24/01/2008 13:38
Dernière modification de la notice
20/08/2019 14:39
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