Takotsubo-like Myocardial Dysfunction in a Patient with Botulism

Shuichi Tonomura; Yoshiaki Kakehi; Masatoshi Sato; Yuki Naito; Hisao Shimizu; Yasunobu Goto; Nobuyuki Takahashi

doi:10.2169/internalmedicine.8968-17

CASE REPORTS

Takotsubo-like Myocardial Dysfunction in a Patient with Botulism

Shuichi Tonomura, Yoshiaki Kakehi, Masatoshi Sato, Yuki Naito, Hisao Shimizu, Yasunobu Goto, Nobuyuki Takahashi

Author information

Keywords: botulism, botulinum toxin A, Takotsubo syndrome, autonomic failure

JOURNAL OPEN ACCESS

2017 Volume 56 Issue 21 Pages 2925-2927

DOI https://doi.org/10.2169/internalmedicine.8968-17

Browse “Advance online publication” version

Details

Abstract

Botulinum toxin A (BTXA) can disrupt the neuromuscular and autonomic functions. We herein report a case of autonomic system dysfunction that manifested as Takotsubo-like myocardial dysfunction in a patient with botulism. Takotsubo syndrome results in acute cardiac insufficiency, another fatal complication of botulism in addition to respiratory muscle paralysis, particularly in patients with cardiovascular disease.

Corresponding author

Register with J-STAGE for free!