Cryptococcal meningitis initially presenting with ST elevations and elevated cardiac biomarkers
| Autor: | Kristina Roddy, Fadi Fahad, Joshua Schulman-Marcus, Mohammad El-Hajjar |
|---|---|
| Rok vydání: | 2019 |
| Předmět: |
Male
medicine.medical_specialty Cardiac troponin Antifungal Agents Delayed Diagnosis Cardiac biomarkers Flucytosine 030204 cardiovascular system & hematology Meningitis Cryptococcal Spinal Puncture 03 medical and health sciences 0302 clinical medicine Drug Therapy Internal medicine Amphotericin B medicine Humans business.industry Mental Disorders 030208 emergency & critical care medicine Pharyngeal Neoplasms General Medicine Middle Aged medicine.disease Reminder of Important Clinical Lesson Treatment Outcome Infectious disease (medical specialty) Cardiology Cryptococcus neoformans ST Elevation Myocardial Infarction business Cryptococcal meningitis Meningitis Biomarkers |
| Zdroj: | BMJ Case Rep |
| ISSN: | 1757-790X |
| Popis: | 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. |
| Databáze: | OpenAIRE |
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