Internal Medicine
Online ISSN : 1349-7235
Print ISSN : 0918-2918
ISSN-L : 0918-2918
CASE REPORTS
Stress-induced Cardiomyopathy Complicated by Multiple Organ Failure Following Cephalosporin-induced Anaphylaxis
Ren-Hua SunBang-Chuan HuQian Li
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JOURNAL OPEN ACCESS

2012 Volume 51 Issue 8 Pages 895-899

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Abstract
Stress-induced cardiomyopathy, a reversible left ventricular dysfunction, has been reported following anaphylaxis; this clinical circumstance seems to be linked to elevated levels of circulating catecholamines. We present a 36-year-old woman diagnosed as stress-induced cardiomyopathy following ceftriaxone-induced anaphylaxis. After anaphylactic reaction, the patient initially presented with cardiogenic shock, and subsequently developed multiple organ failure. She recovered basically by multiple organ supportive therapies including intra-aortic balloon pump and continuous veno-venous hemofiltration. This case provides a unique opportunity to observe the triggering of stress-induced cardiomyopathy, and also it provides evidence to support the role of catecholamine in the pathogenesis of this disease.
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© 2012 by The Japanese Society of Internal Medicine
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