Internal Medicine
Online ISSN : 1349-7235
Print ISSN : 0918-2918
Takotsubo-like Myocardial Dysfunction in a Patient with Botulism
Shuichi TonomuraYoshiaki KakehiMasatoshi SatoYuki NaitoHisao ShimizuYasunobu GotoNobuyuki Takahashi
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JOURNALS OPEN ACCESS Advance online publication

Article ID: 8968-17


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.

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© 2017 by The Japanese Society of Internal Medicine