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Stress-induced cardiomyopathy complicating severe babesiosis
Esosa Odigie-Okon1, Emmanuel Okon, John Dodson
1Department of Medicine, Yale University (Bridgeport Hospital), Bridgeport, CT, USA. sesky146@yahoo.com
Insights
Severe babesiosis can cause stress-induced cardiomyopathy in post-menopausal women. Left ventricular function recovered within three months, suggesting a potential link between severe babesiosis and this cardiac condition.
Area of Science:
- Cardiology
- Infectious Diseases
Background:
- Babesiosis is a tick-borne illness that can lead to severe complications.
- Stress-induced cardiomyopathy, also known as Takotsubo cardiomyopathy, is a form of non-ischemic heart muscle dysfunction.
Observation:
- A post-menopausal woman with severe babesiosis presented with basal-type stress-induced cardiomyopathy.
- Her left ventricular function normalized by three months post-infection.
Findings:
- This case represents the first reported instance of stress cardiomyopathy complicating severe babesiosis.
- Diagnosis of stress cardiomyopathy involves evaluating cardiac biomarkers, ECG changes, and clinical presentation, potentially avoiding coronary angiography.
Implications:
- A potential association between severe babesiosis and stress-induced cardiomyopathy is suggested.
- Early recognition and monitoring of cardiac function are crucial in managing severe babesiosis patients.
- This finding may influence diagnostic and treatment strategies for patients with severe babesiosis and cardiac symptoms.
Abstract:
A post-menopausal lady with severe babesiosis developed a basal-type stress-induced cardiomyopathy. Left ventricular function normalized at three months. We believe this is the first reported case of stress cardiomyopathy complicating severe babesiosis. Cardiac biomarker elevation disproportionate to the area of myocardial dysfunction, electrocardiographic changes, the patient's clinical condition, and close follow-up of left ventricular function parameters are all vital in diagnosing stress cardiomyopathy and may exclude the need for coronary angiography. There may be a possible association between severe babesiosis and stress cardiomyopathy.
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