Stress-induced cardiomyopathy complicated by multiple organ failure following cephalosporin-induced anaphylaxis

Intern Med. 2012;51(8):895-9. doi: 10.2169/internalmedicine.51.6887. Epub 2012 Apr 15.

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.

Publication types

  • Case Reports

MeSH terms

  • Adult
  • Anaphylaxis / chemically induced
  • Anaphylaxis / complications
  • Anaphylaxis / diagnosis*
  • Ceftriaxone / adverse effects*
  • Cephalosporins / adverse effects
  • Female
  • Humans
  • Multiple Organ Failure / complications
  • Multiple Organ Failure / diagnosis*
  • Takotsubo Cardiomyopathy / complications
  • Takotsubo Cardiomyopathy / diagnosis*

Substances

  • Cephalosporins
  • Ceftriaxone