Chlamydophila pneumoniae Myopericarditis in a Child
| Autor: | Dawn Tucker, Antonio Arrieta, Michele M. Cheung, Anthony C. Chang, Monnipa Suesaowalak, James M. Chu |
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| Rok vydání: | 2008 |
| Předmět: |
Male
medicine.medical_specialty Myocarditis Azithromycin medicine.disease_cause Pericardial effusion Diagnosis Differential Pericarditis Internal medicine medicine Humans Immunologic Factors Child Chlamydophila Infections business.industry Immunoglobulins Intravenous Chlamydophila pneumoniae Brain natriuretic peptide medicine.disease Antibodies Bacterial Rash Anti-Bacterial Agents Echocardiography Pediatrics Perinatology and Child Health Etiology Cardiology Drug Therapy Combination medicine.symptom Tomography X-Ray Computed Cardiology and Cardiovascular Medicine business Follow-Up Studies Myopericarditis |
| Zdroj: | Pediatric Cardiology. 30:336-339 |
| ISSN: | 1432-1971 0172-0643 |
| DOI: | 10.1007/s00246-008-9301-5 |
| Popis: | An 11-year-old boy with serologically confirmed Chlamydophila pneumoniae infection presented with clinical, laboratory, and echocardiographic changes consistent with myopericarditis. No reports on C. pneumoniae myopericarditis in children are found in the medical literature. The boy, previously healthy, presented with fever, rash, constitutional symptoms, elevated acute phase reactants, elevated cardiac enzymes, and high brain natriuretic peptide levels. Hemodynamic instabilities, including hypotension and mild hypoxia, were noted. Two-dimensional echocardiographic findings showed mildly depressed left ventricular systolic function and small pericardial effusion. Requiring inotropic support, the boy was treated with azithromycin 10 mg/kg once daily for 7 days and a single dose of intravenous immunoglobulin 2 g/kg. He recovered fully with improved left ventricular systolic function before hospital discharge. An early definitive diagnosis is essential to knowing the etiology of pediatric myocarditis. Specific therapy may play role in the management and prognosis of this disorder. |
| Databáze: | OpenAIRE |
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