Unusual case of myocardial injury induced by Escherichia coli sepsis

https://doi.org/10.4081/monaldi.2010.279

Authors

  • Gaetano Gentile | gaetanogentile@alice.it Cardiology Unit, San Leopoldo Mandic Hospital, Merate (LC), Italy.
  • Ester Meles Cardiology Unit, San Leopoldo Mandic Hospital, Merate (LC), Italy.
  • Claudio Carbone Cardiology Unit, San Leopoldo Mandic Hospital, Merate (LC), Italy.
  • Edoardo Cantù Cardiology Unit, San Leopoldo Mandic Hospital, Merate (LC), Italy.
  • Stefano Maggiolini Cardiology Unit, San Leopoldo Mandic Hospital, Merate (LC), Italy.

Abstract

The typical symptoms and signs of myocardial infarction are well known. Alterations in electrocardiogram (ECG), echocardiography or biochemical markers of myocardial necrosis are usually helpful to confirm the diagnosis. Some of these features, however, also occur in myocarditis, which is a potential differential diagnosis. We describe an unusual case of bacterial sepsis due to Escherichia coli that caused myocardial damage (myocarditis) with ECG changes mimicking acute myocardial infarction. The possible pathophysiological mechanisms of myocardial injury in sepsis are also reviewed.

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Published
2015-12-23
Info
Issue
Section
Case Reports
Keywords:
myocarditis, myocardial injury, myocardial dysfunction, endotoxin, lipopolysaccharide, sepsis, septic heart, cardiac troponins
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  • PDF: 398
How to Cite
Gentile, Gaetano, Ester Meles, Claudio Carbone, Edoardo Cantù, and Stefano Maggiolini. 2015. “Unusual Case of Myocardial Injury Induced by Escherichia Coli Sepsis”. Monaldi Archives for Chest Disease 74 (1). https://doi.org/10.4081/monaldi.2010.279.

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