Atypical onset and course in a child with fulminant myocarditis

A. Rocchi, M. Mazzoni, G. Bertolozzi, G. Milani, L. Napolitano, A. Colli, T. Rizzuti, M. Bianchetti, A. Plebani, E. Laicini, E. Fossali

Research output: Contribution to journalArticle

Abstract

We report a fatal case of fulminant myocarditis (FM) in a five-year-old male child. He presented to our Emergency Department having complained fever, vomiting, nausea and abdominal pain from the previous day. The ECG showed broad complex tachycardia unresponsive to treatment with both drugs and all other resuscitation measures and the child died four hours after admission. Post-mortem histological examination showed diffuse infiltration of the myocardium although no viral material could be identified. FM is relatively uncommon and late presentation at an almost irreversible stage unusual. This case indicates the necessity of a rapid transfer to a center with ECMO or MCS, when FM is diagnosed.

Original languageEnglish
Pages (from-to)447-450
Number of pages4
JournalMinerva Pediatrica
Volume64
Issue number4
Publication statusPublished - Aug 2012

Fingerprint

Myocarditis
Tachycardia
Resuscitation
Nausea
Abdominal Pain
Vomiting
Hospital Emergency Service
Autopsy
Myocardium
Electrocardiography
Fever
Pharmaceutical Preparations
Therapeutics

Keywords

  • Extracorporeal membrane oxygenation
  • Gastroenteritis
  • Myocarditis

ASJC Scopus subject areas

  • Pediatrics, Perinatology, and Child Health

Cite this

Rocchi, A., Mazzoni, M., Bertolozzi, G., Milani, G., Napolitano, L., Colli, A., ... Fossali, E. (2012). Atypical onset and course in a child with fulminant myocarditis. Minerva Pediatrica, 64(4), 447-450.

Atypical onset and course in a child with fulminant myocarditis. / Rocchi, A.; Mazzoni, M.; Bertolozzi, G.; Milani, G.; Napolitano, L.; Colli, A.; Rizzuti, T.; Bianchetti, M.; Plebani, A.; Laicini, E.; Fossali, E.

In: Minerva Pediatrica, Vol. 64, No. 4, 08.2012, p. 447-450.

Research output: Contribution to journalArticle

Rocchi, A, Mazzoni, M, Bertolozzi, G, Milani, G, Napolitano, L, Colli, A, Rizzuti, T, Bianchetti, M, Plebani, A, Laicini, E & Fossali, E 2012, 'Atypical onset and course in a child with fulminant myocarditis', Minerva Pediatrica, vol. 64, no. 4, pp. 447-450.
Rocchi A, Mazzoni M, Bertolozzi G, Milani G, Napolitano L, Colli A et al. Atypical onset and course in a child with fulminant myocarditis. Minerva Pediatrica. 2012 Aug;64(4):447-450.
Rocchi, A. ; Mazzoni, M. ; Bertolozzi, G. ; Milani, G. ; Napolitano, L. ; Colli, A. ; Rizzuti, T. ; Bianchetti, M. ; Plebani, A. ; Laicini, E. ; Fossali, E. / Atypical onset and course in a child with fulminant myocarditis. In: Minerva Pediatrica. 2012 ; Vol. 64, No. 4. pp. 447-450.
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