tetano
Editor, Senior Moderator
Pediatr Int. 2012 Aug;54(4):558-62. doi: 10.1111/j.1442-200X.2012.03592.x.
Myocarditis in a pediatric case of pandemic 2009H1N1 influenza.
Jibiki T, Sakamoto R, Nakaya M, Kanazawa M, Gotoh F, Yamaguchi S, Kutsuna S, Hashimoto Y, Anzai S, Abe K.
Source
Departments of Pediatrics Clinical Engineering Cardiovascular Surgery, Chiba Kaihin Municipal Hospital, Chiba, Japan.
Abstract
We report a 6-year-old boy with no major disease history or allergic conditions initially presented with pneumonia, progressed to acute respiratory distress syndrome and acute myocarditis caused by pandemic 2009H1N1 influenza diagnosed with RT-PCR testing, successfully managed with mechanical ventilation and percutaneous cardiopulmonary support system. Marked transient elevation of IgE in acute phase of the disease and the subsequent diagnosis of atopic asthma in our patient suggested a possible role of an underlying allergic condition in the clinicopathological process. Critically ill 2009H1N1-infected patient with acute respiratory failure should carefully be physiologically monitored together with serial assessment of biomarkers aiming at a favorable cardiac outcome by giving the timely diagnosis and intervention.
? 2012 The Authors. Pediatrics International ? 2012 Japan Pediatric Society.
PMID:
22830548
[PubMed - in process]
http://www.ncbi.nlm.nih.gov/pubmed/22830548
Myocarditis in a pediatric case of pandemic 2009H1N1 influenza.
Jibiki T, Sakamoto R, Nakaya M, Kanazawa M, Gotoh F, Yamaguchi S, Kutsuna S, Hashimoto Y, Anzai S, Abe K.
Source
Departments of Pediatrics Clinical Engineering Cardiovascular Surgery, Chiba Kaihin Municipal Hospital, Chiba, Japan.
Abstract
We report a 6-year-old boy with no major disease history or allergic conditions initially presented with pneumonia, progressed to acute respiratory distress syndrome and acute myocarditis caused by pandemic 2009H1N1 influenza diagnosed with RT-PCR testing, successfully managed with mechanical ventilation and percutaneous cardiopulmonary support system. Marked transient elevation of IgE in acute phase of the disease and the subsequent diagnosis of atopic asthma in our patient suggested a possible role of an underlying allergic condition in the clinicopathological process. Critically ill 2009H1N1-infected patient with acute respiratory failure should carefully be physiologically monitored together with serial assessment of biomarkers aiming at a favorable cardiac outcome by giving the timely diagnosis and intervention.
? 2012 The Authors. Pediatrics International ? 2012 Japan Pediatric Society.
PMID:
22830548
[PubMed - in process]
http://www.ncbi.nlm.nih.gov/pubmed/22830548