Troponin I: how high is too high?
Elevated cardiac troponin I can occur in patients with cardiac injury or sepsis. However, extreme elevations of serum cardiac troponin I in pediatric patients without myocardial injury are rare. We present a case of a 14-year-old girl involved in a motor vehicle accident with muscle injury, who was readmitted with sepsis and severely elevated serum cardiac troponin I level in the absence of myocardial injury.
Department of Pediatrics, Community Health Services, Fremont, OH, USA.
Claudeen K F
CK
Scott
William A
WA
Suarez
D000063:Accidents, Traffic; D000293:Adolescent; D016470:Bacteremia / Q000150:complications*; D015415:Biomarkers; D009202:Cardiomyopathies / Q000175:diagnosis* / Q000209:etiology; D004244:Dizziness / Q000209:etiology*; D005260:Female; D006335:Heart Injuries / Q000175:diagnosis* / Q000209:etiology; D006801:Humans; D022125:Lacerations / Q000150:complications*; D009325:Nausea / Q000209:etiology*; D011237:Predictive Value of Tests; D019210:Troponin I / Q000097:blood*
D015415:Biomarkers; D019210:Troponin I