Key result
A 60-year-old immunocompromised woman with multiple sclerosis developed Takotsubo cardiomyopathy secondary to a severe Cryptococcus neoformans meningoencephalitis infection.
Why the study?
Very few published case reports exist of Takotsubo cardiomyopathy occurring in the setting of fungal meningoencephalitis.
Case Report (n=1)
Highlights a rare presentation of Takotsubo cardiomyopathy triggered by fungal meningoencephalitis in an immunosuppressed patient.
Alerts clinicians to rare Takotsubo triggers in immunosuppressed patients; hypothesis-generating and leaves causal links open.
Takotsubo or stress-induced cardiomyopathy is described as reversible left ventricular dysfunction that develops following a stressful emotional or physical event primarily occurring in postmenopausal females. Many physiologic triggers have been identified in the pathogenesis of Takotsubo cardiomyopathy, including diseases which affect the central nervous system such as traumatic brain injuries, hemorrhagic and ischemic strokes, epilepsy, and central nervous system infections, including meningitis and encephalitis; however, there are very few published case reports of Takotsubo cardiomyopathy in the setting of fungal meningoencephalitis. We present a unique case of Takotsubo cardiomyopathy secondary to Cryptococcus neoformans meningoencephalitis in a middle-aged female with a history of multiple sclerosis who was taking immunosuppressive therapy. J Med Cases. 2022;13(6):263-268 doi: https://doi.org/10.14740/jmc3884
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Stephens et al. (2022) conducted a case report in Takotsubo Cardiomyopathy and Cryptococcal Meningoencephalitis (n=1). Cryptococcus neoformans meningoencephalitis was evaluated. A 60-year-old immunocompromised woman with multiple sclerosis developed Takotsubo cardiomyopathy secondary to a severe Cryptococcus neoformans meningoencephalitis infection.
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