{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,7,31]],"date-time":"2026-07-31T08:01:22Z","timestamp":1785484882112,"version":"3.56.0"},"reference-count":13,"publisher":"SAGE Publications","license":[{"start":{"date-parts":[[2026,1,1]],"date-time":"2026-01-01T00:00:00Z","timestamp":1767225600000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by-nc\/4.0\/"},{"start":{"date-parts":[[2026,1,1]],"date-time":"2026-01-01T00:00:00Z","timestamp":1767225600000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["Sage Open Medical Case Reports"],"published-print":{"date-parts":[[2026,1]]},"abstract":"<jats:p>Leptospirosis is a potentially fatal disease that can lead to dysfunction across multiple organ systems. Although cardiovascular complications are relatively rare, they are frequently underestimated and may result in severe outcomes if not addressed promptly. A 46-year-old farmer presented with complaints of palpitations and chest pain. He reported a history of fever, chills, rigors, diaphoresis, myalgia, nausea, low back pain, and headaches that began 7\u2009days prior. An electrocardiogram showed diffuse T-wave inversions and sinus tachycardia; a troponin test was positive, indicating myocardial injury. Echocardiography revealed generalized wall motion abnormalities and left ventricular systolic dysfunction. After 5\u2009days of antibiotic treatment and a 3-day course of corticosteroids, the patient fully recovered and was discharged without any complications. His angiography was normal, and leptospiral IgM was highly positive. Severe leptospirosis should be considered a potential cause of myocarditis, especially in patients with occupational risk factors and those living in endemic regions. Given the non-specific clinical features and diagnostic findings of leptospirosis, it is essential to maintain a high level of suspicion. Timely clinical recognition and laboratory confirmation are crucial, as delays can lead to higher mortality.<\/jats:p>","DOI":"10.1177\/2050313x261460562","type":"journal-article","created":{"date-parts":[[2026,7,28]],"date-time":"2026-07-28T07:05:06Z","timestamp":1785222306000},"update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":0,"title":["Suspected myocarditis resulting from leptospirosis: A case report from Iran"],"prefix":"10.1177","volume":"14","author":[{"given":"Lotfollah","family":"Davoodi","sequence":"first","affiliation":[{"name":"Department of Infectious Diseases, Faculty of Medicine, Antimicrobial Resistance Research Center, Mazandaran University of Medical Sciences, Sari, Iran"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Hasti","family":"Asdaghi Jahromi","sequence":"additional","affiliation":[{"name":"Department of Infectious Diseases, Faculty of Medicine, Antimicrobial Resistance Research Center, Mazandaran University of Medical Sciences, Sari, Iran"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-3035-0928","authenticated-orcid":false,"given":"Eissa","family":"Soleymani","sequence":"additional","affiliation":[{"name":"Department of Clinical Laboratory Science, Bab.C, Islamic Azad University, Babol, Iran"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"179","published-online":{"date-parts":[[2026,7,28]]},"reference":[{"key":"e_1_3_3_2_2","doi-asserted-by":"publisher","DOI":"10.4103\/2221-6189.342660"},{"key":"e_1_3_3_3_2","article-title":"Relationship between the prevalence of blood groups and severity of leptospirosis: a case\u2013control study","volume":"13","author":"Davoodi L","year":"2020","unstructured":"Davoodi L, Razavi A, Jafarpour H, et al. Relationship between the prevalence of blood groups and severity of leptospirosis: a case\u2013control study. Infect Dis Res Treat 2020; 13: 1178633720936273.","journal-title":"Infect Dis Res Treat"},{"key":"e_1_3_3_4_2","doi-asserted-by":"publisher","DOI":"10.4103\/ijccm.IJCCM_437_18"},{"key":"e_1_3_3_5_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.jinf.2007.12.007"},{"key":"e_1_3_3_6_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.trstmh.2012.06.007"},{"key":"e_1_3_3_7_2","doi-asserted-by":"publisher","DOI":"10.1007\/s12038-008-0074-z"},{"key":"e_1_3_3_8_2","doi-asserted-by":"publisher","DOI":"10.1097\/00004836-199910000-00012"},{"issue":"8","key":"e_1_3_3_9_2","first-page":"975","article-title":"Cardiac involvement in critically ill patients with leptospirosis: a prospective study using myocardial deformation imaging","volume":"9","author":"Mathew A","year":"2020","unstructured":"Mathew A, Shanks M, Punnoose E, et al. Cardiac involvement in critically ill patients with leptospirosis: a prospective study using myocardial deformation imaging. Eur Heart J Acute Cardiovasc Care 2020; 9(8): 975\u2013983.","journal-title":"Eur Heart J Acute Cardiovasc Care"},{"issue":"1","key":"e_1_3_3_10_2","first-page":"3358325","article-title":"Severe thrombocytopenia associated with dengue fever: an evidence-based approach to management of thrombocytopenia","volume":"2022","author":"Das S","year":"2022","unstructured":"Das S, Abreu C, Harris M, et al. Severe thrombocytopenia associated with dengue fever: an evidence-based approach to management of thrombocytopenia. 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