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Cryptococcal meningitis initially presenting with ST elevations and elevated cardiac biomarkers
  1. Fadi Fahad,
  2. Kristina Roddy,
  3. Mohammad El-Hajjar and
  4. Joshua Schulman-Marcus
  1. Cardiology, Albany Medical College, Albany, New York, USA
  1. Correspondence to Dr Fadi Fahad, fahadf{at}


Acute neurological events are a common cause of ECG abnormalities and transient elevations in cardiac biomarkers. This case describes an uncommon presentation of cryptococcal meningitis in a non-immunosuppressed patient, presenting with altered sensorium and derangements in cardiac profile. Delay in diagnosing meningitis was avoided by paying close attention to the patient’s presenting symptoms and by pursuing non-cardiac causes of ECG changes and elevations in cardiac troponin. Expeditious treatment and involvement of the infectious disease consultant resulted in excellent clinical response without permanent neurological sequelae.

  • cardiovascular medicine
  • infections
  • meningitis
  • coma and raised intracranial pressure
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  • Contributors FF involved with drafting, editing and revising the manuscript. KR involved with drafting and editing the manuscript. ME-H involved with drafting and editing the manuscript. JS-M involved with drafting, editing and revising the manuscript.

  • Funding The authors have not declared a specific grant for this research from any funding agency in the public, commercial or not-for-profit sectors.

  • Competing interests None declared.

  • Provenance and peer review Not commissioned; externally peer reviewed.

  • Patient consent for publication Obtained.

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