Published in:
Open Access 01-12-2021 | Cardiomyopathy | Case report
Extremely high troponin levels induced by septic shock: a case report
Published in: Journal of Medical Case Reports | Issue 1/2021
Login to get accessAbstract
Background
Troponin levels can be elevated in various diseases other than acute myocardial infarction, including sepsis. In diseases without myocardial necrosis, the elevated troponin levels are relatively low and normalize quickly.
Case presentation
A 61-year-old Japanese man with impaired consciousness was transported to our hospital. He was diagnosed as having pneumonia and septic shock. His condition was severe, but his clinical course was good. However, his troponin level remained extremely high during admission; on the second day, it was higher than the measurable range. We consulted a cardiologist and performed echocardiography and myocardial perfusion scintigraphy but found no new ischemic changes.
Conclusion
In septic shock, troponin levels can be extremely high, which can persist even after recovery, as in very large myocardial infarctions.