Late Presentation of Post Diphtheritic Myocarditis in a 15-year Male.

Autor:	Vinod KS; Department of Medicine, All India Institute of Medical Sciences, New Delhi, India., Gupta N; Department of Medicine, All India Institute of Medical Sciences, New Delhi, India., Sahu H; Department of Medicine, All India Institute of Medical Sciences, New Delhi, India., Wig N; Department of Medicine, All India Institute of Medical Sciences, New Delhi, India.
Jazyk:	angličtina
Zdroj:	JNMA; journal of the Nepal Medical Association [JNMA J Nepal Med Assoc] 2017 Oct-Dec; Vol. 56 (208), pp. 475-7.
Abstrakt:	A 15-year old male patient presented to us with dyspnoea for four days. He had a history of fever, pseudo-membranous tonsillitis and cervical adenopathy twenty-five days prior to the presentation. On examination and laboratory investigations, he had features suggestive of myocarditis with biventricular failure. There was no reliable history of immunisation and he had a positive history of contact. He was planned for anti-diphtheria toxin but before the anti-toxin could be initiated, the patient succumbed to refractory cardiogenic shock. This was a rare case of late onset diphtheritic myocarditis in an unimmunised adult. With the advent of universal immunisation, there has been a significant decline in the incidence but there is still some road to cover.
Databáze:	MEDLINE
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