Hostname: page-component-77c89778f8-7drxs Total loading time: 0 Render date: 2024-07-18T20:56:33.301Z Has data issue: false hasContentIssue false

Takotsubo cardiomyopathy in a 4-year-old female with pneumococcal meningitis

Published online by Cambridge University Press:  15 March 2023

Kevin J. Munoz
Affiliation:
School of Medicine, Loma Linda University, Loma Linda, CA, USA
Cheyenne L. Feig
Affiliation:
School of Medicine, Loma Linda University, Loma Linda, CA, USA
Erik L. Frandsen*
Affiliation:
Department of Pediatric Cardiology, Loma Linda Children’s Hospital, Loma Linda, CA, USA
*
Author for correspondence: Erik L. Frandsen, MD, Pediatric Cardiology, 11234 Anderson St, Rm 4431, Loma Linda, CA 92354, USA. Tel: +1 909 558 4207. E-mail: efrandsen@llu.edu

Abstract

A previously healthy 4-year-old female presented in cardiogenic shock with pneumococcal meningitis. Findings on echocardiogram raised suspicion for takotsubo cardiomyopathy. With supportive care, left ventricular systolic function normalised. Findings on cardiac imaging helped determine the aetiology and avoid further invasive studies or unnecessary treatment.

Type
Brief Report
Copyright
© The Author(s), 2023. Published by Cambridge University Press

Access options

Get access to the full version of this content by using one of the access options below. (Log in options will check for institutional or personal access. Content may require purchase if you do not have access.)

References

Medina de Chazal, H, Del Buono, MG, Keyser-Marcus, L, et al. Stress cardiomyopathy diagnosis and treatment: JACC state-of-the-art review. J Am Coll Cardiol. 2018; 72: 19551971.CrossRefGoogle ScholarPubMed
Serrano, RM, Schamberger, M, Parent, JJ. Takotsubo cardiomyopathy secondary to non-accidental trauma presenting as an "unwitnessed" arrest. Cardiol Young. 2019; 29: 442444.CrossRefGoogle ScholarPubMed
Thomas, C, Johler, SM, Hermann, M, et al. Takotsubo cardiomyopathy in a 12-year-old boy caused by acute brainstem bleeding - a case report. Transl Pediatr. 2021; 10: 31103117.CrossRefGoogle Scholar
Koyama, J, Akutsu, N, Kawamura, A. Pediatric takotsubo syndrome caused by hydrocephalus after posterior fossa tumor surgery. Childs Nerv Syst. 2021; 37: 39573961.CrossRefGoogle ScholarPubMed
Shimbo, A, Takasawa, K, Nishioka, M, Morio, T, Shimohira, M. Complications of Listeria meningitis in two immunocompetent children. Pediatr Int. 2018; 60: 491492.CrossRefGoogle ScholarPubMed
Pearson, TE, Frizzola, MA, Priest, MA, Rochman, MF, Froehlich, CD. Pediatric extracorporeal cardiopulmonary resuscitation patient with traumatic subarachnoid hemorrhage and Takotsubo syndrome. Air Med J. 2018; 37: 6466.CrossRefGoogle ScholarPubMed
Krpata, DM, Barksdale, EM Jr. Trauma induced left ventricular apical ballooning syndrome in a 15 year old: a rare case of Tako-tsubo cardiomyopathy. J Pediatr Surg. 2013; 48: 876879.CrossRefGoogle Scholar
De Rosa, G, Pardeo, M, Di Rocco, C, et al. Neurogenic stunned myocardium presenting as left ventricular hypertrabeculation in childhood: a variant of Takotsubo cardiomyopathy? Pediatr Crit Care Med J Soc Crit Care Med World Feder Pediatr Intens Crit Care Soc 2011; 12: e420423.Google ScholarPubMed
Wittekind, SG, Yanay, O, Johnson, EM, Gibbons, EF. Two pediatric cases of variant neurogenic stress cardiomyopathy after intracranial hemorrhage. Pediatrics 2014; 134: e12111217.CrossRefGoogle ScholarPubMed
Lyon, AR, Rees, PSC, Prasad, S, Poole-Wilson, PA, Harding, SE. Stress (Takotsubo) cardiomyopathy—a novel pathophysiological hypothesis to explain catecholamine-induced acute myocardial stunning. Nat Rev Cardiol. 2008; 5: 2229.CrossRefGoogle ScholarPubMed

Munoz et al. supplementary material

Video S1

Download Munoz et al. supplementary material(Video)
Video 48.8 MB