Journal of Clinical and Preventive Cardiology

CASE REPORT
Year
: 2018  |  Volume : 7  |  Issue : 1  |  Page : 29--31

Left ventricular calcification following postpartum toxic shock syndrome


Stella C Pak1, Zayd Safadi1, John-Philip Markovic2, Shawn L Marein2 
1 Department of Medicine, University of Toledo Medical Center, Toledo, OH 43614, USA
2 Department of Medicine, Kettering Medical Center, Kettering, OH 45429, USA

Correspondence Address:
Dr, Stella C Pak
Department of Medicine, University of Toledo Medical Center, 3000 Arlington Avenue, Toledo, OH 43614
USA

Toxic shock syndrome (TSS) is a rare but lethal clinical event that can occur during the postpartum period. Early recognition and intervention is critical to improve patient outcomes. This is a case of TSS complicated by cardiac arrest and left ventricular calcification. This is a case report of streptococcal TSS in a 29-year-old female in the postpartum period who presented with fever, abdominal distension, and a purpuric rash. Her hospital course was characterized by multiple organ failure, including respiratory distress syndrome, liver failure, renal failure, and coagulopathy. She was found to have acute compartment syndrome, which resulted in a below-the-knee amputation. She deteriorated further after experiencing cardiac arrest and the development of hypoxic-ischemic encephalopathy with hemorrhagic transformation. A computed tomography scan of the chest revealed evidence of dystrophic myocardial calcification in the left ventricle. She improved clinically but remained ventilator dependent upon discharge to an extended acute care facility. Sepsis-induced cardiomyopathy can result in myocardial calcification. As dystrophic calcification can significantly affect cardiac function, clinicians should rule out cardiac calcification in patients who have had severe septic shock.


How to cite this article:
Pak SC, Safadi Z, Markovic JP, Marein SL. Left ventricular calcification following postpartum toxic shock syndrome.J Clin Prev Cardiol 2018;7:29-31


How to cite this URL:
Pak SC, Safadi Z, Markovic JP, Marein SL. Left ventricular calcification following postpartum toxic shock syndrome. J Clin Prev Cardiol [serial online] 2018 [cited 2022 May 20 ];7:29-31
Available from: https://www.jcpconline.org/article.asp?issn=2250-3528;year=2018;volume=7;issue=1;spage=29;epage=31;aulast=Pak;type=0