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CASE REPORT
Year : 2014  |  Volume : 41  |  Issue : 2  |  Page : 140-142

Raised cardiac enzymes in sepsis with renal failure: An encompassing umbrella or a masquerader?


1 Department of Internal Medicine, Princess Durru Shehvar Children's and General Hospital, Hyderabad, India
2 Department of Nephrology, Medwin Hospital, Hyderabad, India

Correspondence Address:
Dilip Gude
Department of Internal Medicine, Princess Durru Shehvar Children's and General Hospital, Hyderabad
India
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Source of Support: Princess Durru Shehvar Children’s and General Hospital Hyderabad, AP, India, Conflict of Interest: None


DOI: 10.4103/0974-5009.132869

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Elevation of cardiac enzymes and troponins particularly in settings of sepsis and renal failure may cloud the diagnostic picture of acute coronary syndrome in many cases. Interpretation of such elevated enzymes thus warrants caution. It necessitates adequate awareness amongst clinicians, of conditions with such elevation in the absence of myocardial ischemia/infarction as well as those that harbinger false positives. We discuss one such case that posed a diagnostic dilemma and review the pertinent literature.


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