• Tharanga Fernando, Chaturaka Rodrigo, Lasitha Samarakoon, Mitrakrishnan Rayno Navinan, Chaturika Dandeniya, Godwin Constantine, and Senaka Rajapakse.
• Department of Clinical Medicine, Faculty of Medicine, University of Colombo, 25 Kynsey Road, Colombo 08, Sri Lanka.
• Trans. R. Soc. Trop. Med. Hyg. 2013 Jul 1; 107 (7): 457-9.

BackgroundCardiac involvement is known to occur in leptospirosis, however, data on the significance of electrocardiographic and echocardiographic findings is very limited.MethodsElectrocardiographic and echocardiographic changes were studied in serologically confirmed patients with leptospirosis.ResultsOf 22 patients, 45% (10) had cardiac symptoms; 59% (13) had abnormalities on the ECG; 90% (9/10) of patients with cardiac symptoms had at least one electrocardiographic abnormality. Echocardiographic abnormalities were seen in 41% (9). Clinical and echocardiographic evidence of myocarditis was seen in two patients, but left ventricular function was preserved.ConclusionsEchocardiographic changes may be useful in identifying patients with myocarditis in leptospirosis, especially in symptomatic patients.

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