Cough syncope caused by a possible Chlamydia pneumoniae pneumonia

We report the case of a 61-year-old man who presented with coughing fits followed by sinus pauses and syncope. Cardiac and neurological diagnostic work-up was negative and the patient was considered to have cough syncope. As this occurred within the context of febrile pneumonia, an infectious diseas...

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Veröffentlicht in:	La revue de medecine interne 2009-09, Vol.30 (9), p.809-811
Hauptverfasser:	Cinotti, R, Moubarak, G, Gervais, R, Mabo, P
Format:	Artikel
Sprache:	fre
Schlagworte:	Anti-Bacterial Agents - therapeutic use Antibodies, Bacterial - analysis Antitussive Agents - therapeutic use Blotting, Western Chlamydia Infections Chlamydophila Infections - complications Chlamydophila Infections - diagnosis Chlamydophila Infections - drug therapy Chlamydophila Infections - immunology Chlamydophila pneumoniae - immunology Cough - complications Cough - drug therapy Cough - etiology Electrocardiography Emergencies Follow-Up Studies Humans Immunoglobulin G - analysis Male Middle Aged Pneumonia, Bacterial - complications Pneumonia, Bacterial - diagnosis Pneumonia, Bacterial - drug therapy Pneumonia, Bacterial - immunology Pneumonia, Bacterial - microbiology Recurrence Roxithromycin - therapeutic use Syncope - etiology Time Factors Treatment Outcome
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Zusammenfassung:	We report the case of a 61-year-old man who presented with coughing fits followed by sinus pauses and syncope. Cardiac and neurological diagnostic work-up was negative and the patient was considered to have cough syncope. As this occurred within the context of febrile pneumonia, an infectious disease was suspected but diagnostic work-up only revealed an increase of antibodies against Chlamydia pneumoniae. The responsibility of this agent is discussed. Clinical recovery was obtained with the prescription of antitussive medication.
ISSN:	0248-8663
DOI:	10.1016/j.revmed.2008.12.005