Key result
A 14-year-old girl with sepsis and muscle injury following a motor vehicle accident presented with severely elevated serum cardiac troponin I in the absence of myocardial injury.
Case Report (n=1)
Extreme elevations of serum cardiac troponin I can occur in pediatric patients with sepsis and muscle injury even in the absence of myocardial injury.
Troponin elevations in pediatric sepsis with muscle injury may not indicate myocardial damage; case report leaves open need for pediatric-specific thresholds.
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.
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Scott et al. (2012) conducted a case report in Elevated cardiac troponin I without myocardial injury (n=1). Sepsis and muscle injury was evaluated. A 14-year-old girl with sepsis and muscle injury following a motor vehicle accident presented with severely elevated serum cardiac troponin I in the absence of myocardial injury.
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