Cryptococcal meningitis initially presenting with ST elevations and elevated cardiac biomarkers. Issue 5 (8th May 2019)

• Record Type: Journal Article
• Authors: Fahad, Fadi; Roddy, Kristina; El-Hajjar, Mohammad; Schulman-Marcus, Joshua
• Is Part Of: BMJ case reports. Volume 12:Issue 5(2019)
• Publication Date: 2019-05-08
• Subjects: cardiovascular medicine -- infections -- meningitis -- coma and raised intracranial pressure; Medicine -- Case studies -- Periodicals; 610.5
• DOI: 10.1136/bcr-2018-226990
• Languages: English
• ISSNs: 1757-790X

Abstract

Abstract : Acute neurological events are a common cause of ECG abnormalities and transient elevations in cardiac biomarkers. This case describes an uncommon presentation of cryptococcal meningitis in a non-immunosuppressed patient, presenting with altered sensorium and derangements in cardiac profile. Delay in diagnosing meningitis was avoided by paying close attention to the patient's presenting symptoms and by pursuing non-cardiac causes of ECG changes and elevations in cardiac troponin. Expeditious treatment and involvement of the infectious disease consultant resulted in excellent clinical response without permanent neurological sequelae.