A case of interstitial pneumonia, myocarditis and severe sepsis caused by Chlamydia pneumoniae.

To cite: Durel C-A, Saison J, Chidiac C, et al. BMJ Case Rep Published online: [please include Day Month Year] doi:10.1136/ bcr-2015-211788 DESCRIPTION A 72-year-old woman was referred to the infectious diseases department with febrile respiratory distress. Her medical history mainly featured stage II chronic obstructive pulmonary disease. She had had a dry hacking cough for 2 weeks, with febrile attacks. There were no abnormalities on pulmonary auscultation. She presented with a biological inflammatory syndrome (C reactive protein 173 mg/L), hyponatraemia and moderately elevated liver enzymes. CT revealed bilateral interstitial pulmonary infiltrates (figure 1A). She quickly developed febrile refractory hypotension. She received temporary norepinephrine support, and empiric