Rapidly progressive deteriorated left ventricular wall motion associated with tetanus---A case report

Kanji Iga MD and Kenjiro Hori MD

Abstract

We experienced a case of tetanus accompanied by severe reversible left ventricular motion impairment. Emergent coronary angiography showed no abnormalities and large akinesis was present on left ventriculography. As plasma catecholamine level was not so high in the acute phase, we think that the cause of this depressed left ventricular wall motion abnormality was due to some metabolite derived from tetanus.