Infective rhomboencephalitis and inverted Takotsubo: neurogenic-stunned myocardium or myocarditis?

CNS disease triggering Takotsubo stress cardiomyopathy

“…Rarely has TTS been reported in association with meningitis or encephalitis (Table 1) [30,[138][139][140][141]. TTS has been particularly described in association with MRSA-meningitis (one case) [30] and with listeria rhombencephalitis (one case) [139].…”

“…TTS has been particularly described in association with MRSA-meningitis (one case) [30] and with listeria rhombencephalitis (one case) [139]. In a 73 year-old female with limbic encephalitis and symmetric hyperintensities within the medial temporal lobes on FLAIR-sequences, manifesting as retrograde and anterograde amnesia, ECG showed deep T-wave inversions in several leads [141].…”

Complications of Listeria meningitis in two immunocompetent children

“…4 TCM is referred to as stressinduced cardiomyopathy and numerous CNS diseases trigger TCM by disruption of the cardiovascular regulatory centers located in the brainstem, which could theoretically lead to sympathetic activation and subsequent neurogenic cardiac damage. 4 Despite early intervention, both of the present patients developed various complications during antibiotic treatment. The trigger or cause of Listeria invasion remains unclear, but two factors that may contribute to aggravation of listeriosis, have been reported.…”

Central nervous system (CNS) disease triggering Takotsubo syndrome

“…[31][32][33][34][35] These 5 publications reported 5 patients of which 3 were female and 2 male. Age ranged from 10 to 73 years.…”

“…Age ranged from 10 to 73 years. One patient had a methicillin-resistant staphylococcus aureus (MRSA) meningitis, 35 one a listeria encephalitis, 31 one aseptic encephalitis, 32 one aseptic myelitis, 33 and one immune encephalitis (limbic encephalitis). 34 Four patients presented with the classical type and one with the inverted TTS type.…”