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Rev Infect Dis. 1990 Sep-Oct;12(5):820-3.

Listerial myocarditis in cardiac transplantation.

Author information

1
Department of Medicine, University of Alabama, Birmingham 35294.

Abstract

Clinical signs of heart failure developed in two cardiac transplant recipients and were interpreted initially as graft rejection. Morphologic examination of explanted hearts revealed myocarditis with abscess formation and necrosis consistent with a bacterial process; Listeria monocytogenes was isolated from myocardial tissue in the first case and from blood in both. The first patient also developed signs of meningoencephalitis, but the second had no signs of infection outside the heart. Antimicrobial therapy and retransplantation were successful in eradicating listeriosis. The differential diagnosis of heart failure in cardiac transplant recipients includes infectious myocarditis due to L. monocytogenes.

PMID:
2237124
DOI:
10.1093/clinids/12.5.820
[Indexed for MEDLINE]

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