Extremely high troponin levels induced by septic shock: a case report

BACKGROUND: Troponin levels can be elevated in various diseases other than acute myocardial infarction, including sepsis. In diseases without myocardial necrosis, the elevated troponin levels are relatively low and normalize quickly. CASE PRESENTATION: A 61-year-old Japanese man with impaired consci...

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Detalles Bibliográficos
Autores principales: Matsunaga, Naoki, Yoshioka, Yuki, Fukuta, Yasushi
Formato: Online Artículo Texto
Lenguaje:English
Publicado: BioMed Central 2021
Materias:
Case Report
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8433049/
https://www.ncbi.nlm.nih.gov/pubmed/34507615
http://dx.doi.org/10.1186/s13256-021-03027-6
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author Matsunaga, Naoki
Yoshioka, Yuki
Fukuta, Yasushi
author_facet Matsunaga, Naoki
Yoshioka, Yuki
Fukuta, Yasushi
author_sort Matsunaga, Naoki
collection PubMed
description BACKGROUND: Troponin levels can be elevated in various diseases other than acute myocardial infarction, including sepsis. In diseases without myocardial necrosis, the elevated troponin levels are relatively low and normalize quickly. CASE PRESENTATION: A 61-year-old Japanese man with impaired consciousness was transported to our hospital. He was diagnosed as having pneumonia and septic shock. His condition was severe, but his clinical course was good. However, his troponin level remained extremely high during admission; on the second day, it was higher than the measurable range. We consulted a cardiologist and performed echocardiography and myocardial perfusion scintigraphy but found no new ischemic changes. CONCLUSION: In septic shock, troponin levels can be extremely high, which can persist even after recovery, as in very large myocardial infarctions.
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spelling pubmed-84330492021-09-13 Extremely high troponin levels induced by septic shock: a case report Matsunaga, Naoki Yoshioka, Yuki Fukuta, Yasushi J Med Case Rep Case Report BACKGROUND: Troponin levels can be elevated in various diseases other than acute myocardial infarction, including sepsis. In diseases without myocardial necrosis, the elevated troponin levels are relatively low and normalize quickly. CASE PRESENTATION: A 61-year-old Japanese man with impaired consciousness was transported to our hospital. He was diagnosed as having pneumonia and septic shock. His condition was severe, but his clinical course was good. However, his troponin level remained extremely high during admission; on the second day, it was higher than the measurable range. We consulted a cardiologist and performed echocardiography and myocardial perfusion scintigraphy but found no new ischemic changes. CONCLUSION: In septic shock, troponin levels can be extremely high, which can persist even after recovery, as in very large myocardial infarctions. BioMed Central 2021-09-11 /pmc/articles/PMC8433049/ /pubmed/34507615 http://dx.doi.org/10.1186/s13256-021-03027-6 Text en © The Author(s) 2021 https://creativecommons.org/licenses/by/4.0/Open AccessThis article is licensed under a Creative Commons Attribution 4.0 International License, which permits use, sharing, adaptation, distribution and reproduction in any medium or format, as long as you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons licence, and indicate if changes were made. The images or other third party material in this article are included in the article's Creative Commons licence, unless indicated otherwise in a credit line to the material. If material is not included in the article's Creative Commons licence and your intended use is not permitted by statutory regulation or exceeds the permitted use, you will need to obtain permission directly from the copyright holder. To view a copy of this licence, visit http://creativecommons.org/licenses/by/4.0/ (https://creativecommons.org/licenses/by/4.0/) . The Creative Commons Public Domain Dedication waiver (http://creativecommons.org/publicdomain/zero/1.0/ (https://creativecommons.org/publicdomain/zero/1.0/) ) applies to the data made available in this article, unless otherwise stated in a credit line to the data.
spellingShingle Case Report
Matsunaga, Naoki
Yoshioka, Yuki
Fukuta, Yasushi
Extremely high troponin levels induced by septic shock: a case report
title Extremely high troponin levels induced by septic shock: a case report
title_full Extremely high troponin levels induced by septic shock: a case report
title_fullStr Extremely high troponin levels induced by septic shock: a case report
title_full_unstemmed Extremely high troponin levels induced by septic shock: a case report
title_short Extremely high troponin levels induced by septic shock: a case report
title_sort extremely high troponin levels induced by septic shock: a case report
topic Case Report
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8433049/
https://www.ncbi.nlm.nih.gov/pubmed/34507615
http://dx.doi.org/10.1186/s13256-021-03027-6
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