RESUMO
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.
Assuntos
Bacteriemia/complicações , Cardiomiopatias/diagnóstico , Tontura/etiologia , Traumatismos Cardíacos/diagnóstico , Lacerações/complicações , Náusea/etiologia , Troponina I/sangue , Acidentes de Trânsito , Adolescente , Biomarcadores , Cardiomiopatias/etiologia , Feminino , Traumatismos Cardíacos/etiologia , Humanos , Valor Preditivo dos TestesAssuntos
Tumor Desmoplásico de Pequenas Células Redondas/diagnóstico , Neoplasias Cardíacas/diagnóstico , Pseudo-Hipoaldosteronismo/diagnóstico , Infecções por Rotavirus/diagnóstico , Convulsões/virologia , Adolescente , Pré-Escolar , Tumor Desmoplásico de Pequenas Células Redondas/tratamento farmacológico , Diagnóstico Diferencial , Feminino , Neoplasias Cardíacas/tratamento farmacológico , Ventrículos do Coração , Humanos , Recém-Nascido , Masculino , Pseudo-Hipoaldosteronismo/tratamento farmacológico , Pseudo-Hipoaldosteronismo/genética , Infecções por Rotavirus/tratamento farmacológico , Resultado do TratamentoRESUMO
Ductal arteriosus aneurysm (DAA) is a well-recognized condition, especially in infancy, and is usually asymptomatic. We report the first case of a newborn who presented with significant inspiratory stridor and, using multiple imaging investigations, was subsequently diagnosed with the rare constellation of a congenital DAA, a right aortic arch and an isolated left subclavian artery with normal intra-cardiac anatomy. The patient underwent surgical resection of the DAA with significant improvement in symptoms.