title: Stress-induced cardiomyopathy complicated by multiple organ failure following cephalosporin-induced anaphylaxis.
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.
authors.affiliation: Intensive Care Unit, Zhejiang Provincial People's Hospital, China. sunrenhua_1@yahoo.com.cn
authors.forename: Ren-Hua
authors.initials: RH
authors.lastname: Sun
authors.forename: Bang-Chuan
authors.initials: BC
authors.lastname: Hu
authors.forename: Qian
authors.initials: Q
authors.lastname: Li
mesh_terms: D000328:Adult; D000707:Anaphylaxis / Q000139:chemically induced / Q000150:complications / Q000175:diagnosis*; D002443:Ceftriaxone / Q000009:adverse effects*; D002511:Cephalosporins / Q000009:adverse effects; D005260:Female; D006801:Humans; D009102:Multiple Organ Failure / Q000150:complications / Q000175:diagnosis*; D054549:Takotsubo Cardiomyopathy / Q000150:complications / Q000175:diagnosis*
chemical_list: D002511:Cephalosporins; D002443:Ceftriaxone