# Reverse Takotsubo Cardiomyopathy in a Woman With Clostridioides difficile Colitis and a Sepsis-Like Syndrome: A Case Study

## TL;DR

An elderly woman with a severe gut infection and sepsis-like symptoms developed a rare heart condition called reverse Takotsubo cardiomyopathy, which was diagnosed and treated with supportive care.

## Contribution

This case study adds to the limited understanding of reverse Takotsubo cardiomyopathy in the context of sepsis and gastrointestinal infections.

## Key findings

- Reverse Takotsubo cardiomyopathy was diagnosed in a 74-year-old woman with Clostridioides difficile colitis and sepsis-like syndrome.
- Supportive therapy led to recovery after the condition was identified through echocardiography and cardiac catheterization.
- The case emphasizes the importance of recognizing stress-induced cardiomyopathies in critically ill patients.

## Abstract

In this report, we present a case of reverse Takotsubo cardiomyopathy (rTTC) in an elderly female, 74 years old, with Clostridioides difficile colitis and sepsis-like features complicated by hypotension and arrhythmias. The diagnosis was eventually established through echocardiography and cardiac catheterization. Supportive therapy favored recovery after diagnosis. This case of rTTC highlights a serious, although rare, cardiac condition that emphasizes the importance of workup and recognition to support optimal management and recovery and underscores the need to keep stress-induced cardiomyopathies in mind in critically ill patients.