Abstract
Here, we present a case report of a 53-year-old patient who was admitted for an acute ischaemic stroke. During the hospitalization period, the patient developed meningoencephalitis and acute myocarditis with recurrent episodes of ventricular fibrillation that required defibrillation repeatedly.
Listeria monocytogenes was isolated from blood culture samples. The patient was treated with antibiotic therapy and showed a good clinical response.
The diagnosis of myocarditis was based on the clinical and ECG presentation (ventricular arrhythmia) and elevation of troponin T level, echocardiography and MRI showed myocardial hypertrophy and pericardial effusion. In the context of this case, it is important to note that the patient suffered from scleroderma and was ambulatory treated with long-term corticosteroid therapy (Medrol 32 mg per day).