Cryptococcal meningitis initially presenting with ST elevations and elevated cardiac biomarkers.

Autor: Fahad, Fadi, Roddy, Kristina, El-Hajjar, Mohammad, Schulman-Marcus, Joshua
Zdroj: BMJ Case Reports; 5/8/2019, Vol. 12 Issue 5, p1-2, 2p, 2 Color Photographs, 1 Black and White Photograph
Abstrakt: Acute neurological events are a common cause of ECG abnormalities and transient elevations in cardiac biomarkers. This case describes an uncommon presentation of cryptococcal meningitis in a non-immunosuppressed patient, presenting with altered sensorium and derangements in cardiac profile. Delay in diagnosing meningitis was avoided by paying close attention to the patient’s presenting symptoms and by pursuing non-cardiac causes of ECG changes and elevations in cardiac troponin. Expeditious treatment and involvement of the infectious disease consultant resulted in excellent clinical response without permanent neurological sequelae. [ABSTRACT FROM AUTHOR]
Databáze: Complementary Index