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Sepsis-Induced Cardiomyopathy Secondary to Escherichia coli Sepsis and Intestinal Perforation: A Diagnostic Challenge in a Paediatric Patient

Year: 2024

Type: article

Abstract: A five-year-old male presented with abdominal pain, fever, vomiting, and constipation. Initial investigations suggested subacute intestinal obstruction. Laparotomy revealed intestinal perforation with peritonitis due to Escherichia coli. Post-operatively, the patient developed sepsis-induced cardiomyopathy (SICM), requiring inotropic support and mechanical ventilation. The complex clinical presentation and overlap of symptoms with septic shock delayed the diagnosis of SICM, making timely identification challenging. This case highlights the diagnostic challenges in identifying sepsis-induced cardiomyopathy in the context of severe sepsis and abdominal pathology, underscoring the need for early recognition, particularly using echocardiography for myocardial dysfunction assessment.

Source: Cureus

DOI: 10.7759/cureus.76552

Authors: Himanshu Kumar, Shishir Kumar, Deb Sanjay Nag, Kumar Diwakar, Niharika Singh

Institution: Tata Main Hospital

Language: English

Topic: Sepsis Diagnosis and Treatment

Subfield: Epidemiology

Field: Medicine

Domain: Health Sciences

SDG: Good health and well-being

Open Access status: diamond

OpenAlex ID: W4405870952