Septic cardiomyopathy: Diagnosis and management

Boissier, Florence; Aïssaoui, Nadia

doi:10.1016/j.jointm.2021.11.004

Cited by 30 publications

(34 citation statements)

References 120 publications

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“…Echocardiography is considered the gold standard for the diagnosis of SCM, and the findings consist of left ventricular systolic and diastolic dysfunction and right ventricular dysfunction with or without reduced CO [18] were confirmed in our patient. Global longitudinal strain may be a more sensitive and specific parameter, and a value of less than 20% highly suggests SCM [18]. Unfortunately, we did not perform speckle tracking echography due to the unavailability of the dedicated device.…”

Section: Table 2: Culture and Antibiogramsupporting

confidence: 68%

“…The decreased EF and severely decreased SVR in our patient may indicate ventriculo-arterial coupling, a distinguishing feature in SCM. The significantly reduced SVR may falsely elevate the measured CO due to mathematical coupling, which can explain the impairment of intrinsic cardiomyocyte contractility despite the high measured CO in our patient [ 18 ]. The dramatic increase in serum troponin I in our patient is likely multifactorial and can be associated with myocardial membrane leakage and acute kidney injury.…”

Section: Discussionmentioning

confidence: 99%

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Multiorgan Dysfunction With Severe Cardiac Injury Secondary to Septic Cellulitis Due to Vibrio parahaemolyticus

Tuan¹,

Chung²,

Ngo³

et al. 2022

Cureus

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Vibrio parahaemolyticus infection commonly manifests as gastroenteritis, including diarrhea, abdominal pain, nausea, vomiting, and fever. Although uncommon, V. parahaemolyticus has also been associated with wound infection and septic shock. These two manifestations have not been well-reported in medical literature, yet may yield a high risk of death, thus requiring emergent interventions. We present a case of a 42-year-old patient who developed septic shock secondary to a bullous necrotic wound and diarrhea due to V. parahaemolyticus. Multi-organ dysfunction syndrome with extreme cardiac injury developed very early in the course of the disease, prompting ICU admission and management with antibiotics, fluid resuscitation, vasopressors, blood purification, and surgical debridement. The treatment achieved a good clinical outcome. To the best of our knowledge, this is the first case report of V. parahaemolyticus-induced cardiomyopathy. V. parahaemolyticus should be considered as one of the causative agents in patients with sepsis due to cellulitis, particularly in patients with a suggestive history, such as exposure to seawater or eating seafood.

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Section: Table 2: Culture and Antibiogramsupporting

confidence: 68%

Section: Discussionmentioning

confidence: 99%

Multiorgan Dysfunction With Severe Cardiac Injury Secondary to Septic Cellulitis Due to Vibrio parahaemolyticus

Tuan¹,

Chung²,

Ngo³

et al. 2022

Cureus

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“…Also, the use of inotropic agents and treatment goals are debated. 3 Therefore, further studies are needed to validate the routine use of STE in the hemodynamic assessment of septic patients.…”

Section: Discussionmentioning

confidence: 99%

“…However, the clinical significance of LV systolic dysfunction detected in septic patients is uncertain. Also, the use of inotropic agents and treatment goals are debated 3 . Therefore, further studies are needed to validate the routine use of STE in the hemodynamic assessment of septic patients.…”

Section: Discussionmentioning

confidence: 99%

Strain echocardiography in a sepsis‐induced cardiomyopathy

Higny

Bulpa

Berners

2022

Clinical Case Reports

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“… 1 Several organ dysfunctions have been defined and the severity of such dysfunction can also be quantified. 2 One of the organ dysfunctions that are less clearly defined relates to the impact of sepsis on the heart. No objective definition for sepsis-induced cardiomyopathy (SICM) has been established despite the fact that the reported prevalence of this condition varies between 10 and 70%.…”

mentioning

confidence: 99%