{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,24]],"date-time":"2026-09-24T21:37:58Z","timestamp":1790285878595,"version":"4.1.0"},"reference-count":13,"publisher":"Texas Heart Institute Journal","issue":"4","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2015,8]]},"abstract":"<jats:p>Legionnaires' disease is the designation for pneumonia caused by the <jats:italic>Legionella<\/jats:italic> species. Among the rare extrapulmonary manifestations, cardiac involvement is most prevalent, in the forms of myocarditis, pericarditis, postcardiotomy syndrome, and prosthetic valve endocarditis. Mechanical circulatory support has proved to be a safe and effective bridge to myocardial recovery in patients with acute fulminant myocarditis; however, to our knowledge, this support has not been used in infectious myocarditis specifically related to Legionellosis.<\/jats:p>\n        <jats:p>We describe a case of <jats:italic>Legionella<\/jats:italic> myocarditis associated with acute left ventricular dysfunction and repolarization abnormalities in a 48-year-old man. The patient fully recovered after left ventricular unloading with use of a TandemHeart percutaneous ventricular assist device. In addition, we review the English-language medical literature on <jats:italic>Legionella<\/jats:italic> myocarditis and focus on cardiac outcomes.<\/jats:p>","DOI":"10.14503\/thij-14-4131","type":"journal-article","created":{"date-parts":[[2015,8,3]],"date-time":"2015-08-03T13:22:06Z","timestamp":1438608126000},"page":"357-361","source":"Crossref","is-referenced-by-count":4,"title":["TandemHeart as a Bridge to Recovery in Legionella Myocarditis"],"prefix":"10.14503","volume":"42","author":[{"given":"David F.","family":"Brice\u00f1o","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Rajeev R.","family":"Fernando","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Sriram","family":"Nathan","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Pranav","family":"Loyalka","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Biswajit","family":"Kar","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Igor D.","family":"Gregoric","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"5628","reference":[{"issue":"10","key":"i0730-2347-42-4-357-b1","series-title":"N Engl J Med","first-page":"682","article-title":"Legionellosis","volume":"337","year":"1997","unstructured":"Stout\n              JE, \n            \n              Yu\n              VL.\n            \n          \n          Legionellosis. N Engl J Med1997;337(10): 682\u20137."},{"issue":"5","key":"i0730-2347-42-4-357-b2","series-title":"Arch Intern Med","first-page":"926","article-title":"Legionella pneumophila pericarditis without pneumonia","volume":"145","year":"1985","unstructured":"Nelson\n              DP, \n            \n              Rensimer\n              ER, \n            \n              Raffin\n              TA.\n            \n          \n          Legionella pneumophila pericarditis without pneumonia. Arch Intern Med1985;145 (5):926."},{"issue":"22","key":"i0730-2347-42-4-357-b3","series-title":"Intern Med","first-page":"3207","article-title":"Severe Legionnaires' disease with pneumonia and biopsy-confirmed myocarditis most likely caused by Legionella pneumophila serogroup 6","volume":"51","year":"2012","unstructured":"Ishimaru\n              N, \n            \n              Suzuki\n              H, \n            \n              Tokuda\n              Y, \n            \n              Takano\n              T.\n            \n          \n          Severe Legionnaires' disease with pneumonia and biopsy-confirmed myocarditis most likely caused by Legionella pneumophila serogroup 6. Intern Med2012;51(22):3207\u201312."},{"issue":"10","key":"i0730-2347-42-4-357-b4","series-title":"Am J Med","first-page":"824","article-title":"An atypical complication of atypical pneumonia","volume":"119","year":"2006","unstructured":"Antonarakis\n              ES, \n            \n              Wung\n              PK, \n            \n              Durand\n              DJ, \n            \n              Leyngold\n              I, \n            \n              Meyerson\n              DA.\n            \n          \n          An atypical complication of atypical pneumonia. Am J Med2006;119(10):824\u20137."},{"issue":"3","key":"i0730-2347-42-4-357-b5","series-title":"Int J Cardiol","first-page":"418","article-title":"Myocarditis: a rare complication during Legionella infection","volume":"37","year":"1992","unstructured":"Armengol\n              S, \n            \n              Domingo\n              C, \n            \n              Mesalles\n              E.\n            \n          \n          Myocarditis: a rare complication during Legionella infection. Int J Cardiol1992; 37(3):418\u201320."},{"issue":"15","key":"i0730-2347-42-4-357-b6","series-title":"N Engl J Med","first-page":"1526","article-title":"Myocarditis","volume":"360","year":"2009","unstructured":"Cooper\n              LT\n              Jr.\n            \n          \n          Myocarditis. N Engl J Med2009;360(15): 1526\u201338."},{"issue":"1","key":"i0730-2347-42-4-357-b7","series-title":"Clin Infect Dis","first-page":"64","article-title":"Diagnosis of Legionella infection","volume":"36","year":"2003","unstructured":"Murdoch\n              DR.\n            \n          \n          Diagnosis of Legionella infection. Clin Infect Dis2003;36(1):64\u20139."},{"issue":"18","key":"i0730-2347-42-4-357-b8","series-title":"Circulation","first-page":"2254","article-title":"Controlled trial of intravenous immune globulin in recent-onset dilated cardiomyopathy","volume":"103","year":"2001","unstructured":"McNamara\n              DM, \n            \n              Holubkov\n              R, \n            \n              Starling\n              RC, \n            \n              Dec\n              GW, \n            \n              Loh\n              E, \n            \n              Torre-Amione\n              G, \n          \n          et al. Controlled trial of intravenous immune globulin in recent-onset dilated cardiomyopathy. Circulation2001;103(18):2254\u20139."},{"issue":"12","key":"i0730-2347-42-4-357-b9","series-title":"Am J Cardiol","first-page":"1755","article-title":"Usefulness of percutaneous left ventricular assist device as a bridge to recovery from myocarditis","volume":"99","year":"2007","unstructured":"Chandra\n              D, \n            \n              Kar\n              B, \n            \n              Idelchik\n              G, \n            \n              Simpson\n              L, \n            \n              Loyalka\n              P, \n            \n              Gregoric\n              ID, \n          \n          et al. Usefulness of percutaneous left ventricular assist device as a bridge to recovery from myocarditis. Am J Cardiol2007;99(12):1755\u20136."},{"issue":"1","key":"i0730-2347-42-4-357-b10","series-title":"Clin Infect Dis","first-page":"120","article-title":"A case of myocarditis associated with Legionnaires' disease","volume":"18","year":"1994","unstructured":"de Lassence\n              A, \n            \n              Matsiota-Bernard\n              P, \n            \n              Valtier\n              B, \n            \n              Franc\n              B, \n            \n              Jardin\n              F, \n            \n              Nauciel\n              C.\n            \n          \n          A case of myocarditis associated with Legionnaires' disease. Clin Infect Dis1994;18(1):120\u20131."},{"issue":"9","key":"i0730-2347-42-4-357-b11","series-title":"Eur J Anaesthesiol","first-page":"808","article-title":"Legionella pneumonia with acute respiratory distress syndrome, myocarditis and septic shock successfully treated with drotrecogin alpha (activated)","volume":"23","year":"2006","unstructured":"Bodur\n              H, \n            \n              Savran\n              Y, \n            \n              Koca\n              U, \n            \n              Kilinc\n              O, \n            \n              Albayrak\n              S, \n            \n              Itil\n              O, \n            \n              Akoglu\n              S.\n            \n          \n          Legionella pneumonia with acute respiratory distress syndrome, myocarditis and septic shock successfully treated with drotrecogin alpha (activated). Eur J Anaesthesiol2006; 23(9):808\u201310."},{"issue":"6","key":"i0730-2347-42-4-357-b12","series-title":"Tex Heart Inst J","first-page":"601","article-title":"Suspected Legionella-induced perimyocarditis in an adult in the absence of pneumonia: a rare clinical entity","volume":"36","year":"2009","unstructured":"Burke\n              PT, \n            \n              Shah\n              R, \n            \n              Thabolingam\n              R, \n            \n              Saba\n              S.\n            \n          \n          Suspected Legionella-induced perimyocarditis in an adult in the absence of pneumonia: a rare clinical entity. Tex Heart Inst J2009;36 (6):601\u20133."},{"issue":"14","key":"i0730-2347-42-4-357-b13","series-title":"Circulation","first-page":"1809","article-title":"Percutaneous circulatory support in cardiogenic shock: interventional bridge to recovery","volume":"125","year":"2012","unstructured":"Kar\n              B, \n            \n              Basra\n              SS, \n            \n              Shah\n              NR, \n            \n              Loyalka\n              P.\n            \n          \n          Percutaneous circulatory support in cardiogenic shock: interventional bridge to recovery. Circulation2012;125(14):1809\u201317."}],"container-title":["Texas Heart Institute Journal"],"original-title":[],"link":[{"URL":"https:\/\/thij.kglmeridian.com\/view\/journals\/thij\/42\/4\/article-p357.xml","content-type":"text\/html","content-version":"vor","intended-application":"text-mining"},{"URL":"http:\/\/meridian.allenpress.com\/thij\/article-pdf\/42\/4\/357\/2325087\/thij-14-4131.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"syndication"},{"URL":"https:\/\/thij.kglmeridian.com\/downloadpdf\/journals\/thij\/42\/4\/article-p357.xml","content-type":"text\/html","content-version":"vor","intended-application":"syndication"},{"URL":"https:\/\/thij.kglmeridian.com\/downloadpdf\/journals\/thij\/42\/4\/article-p357.xml","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2024,11,7]],"date-time":"2024-11-07T15:30:18Z","timestamp":1730993418000},"score":1,"resource":{"primary":{"URL":"https:\/\/thij.kglmeridian.com\/view\/journals\/thij\/42\/4\/article-p357.xml"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2015,8]]},"references-count":13,"journal-issue":{"issue":"4"},"URL":"https:\/\/doi.org\/10.14503\/thij-14-4131","relation":{},"ISSN":["0730-2347","1526-6702"],"issn-type":[{"value":"0730-2347","type":"print"},{"value":"1526-6702","type":"electronic"}],"subject":[],"published":{"date-parts":[[2015,8]]}}}