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Colegio de Medicina Interna de México.

2016, Number 2

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Med Int Mex 2016; 32 (2)

Cardiomyopathy induced by anthracyclines and septic shock secondary to neutropenic colitis

Pérez-Topete SE, Miranda-Aquino T, Muñoz-Ramírez MR, Barrientos-Quintanilla LA, Calderón JA, Herrera E

Language: Spanish
References: 9
Page: 256-259
PDF size: 694.86 Kb.


ABSTRACT

This paper reports the case of a 53-year-old female patients with breast cancer; doxorubicin chemotherapy was administered seven days before admission; patient began with abdominal pain and fecaloid vomit, thus she was taken to the emergency room in shock. She was admitted to the intensive care unit with a diagnosis of septic shock secondary to neutropenic colitis. Antibiotics, hydration and vasopressors were given. Transthoracic echocardiography was made with LVEF of 28%, cardiotoxicity due to anthracyclines was diagnosed, so levosimendan was started, improving LVEF 40%; patient presented good clinical evolution and was discharged.


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