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A Journal on Pediatrics, Neonatology, Adolescent Medicine,
Child and Adolescent Psychiatry

Indexed/Abstracted in: CAB, EMBASE, PubMed/MEDLINE, Science Citation Index Expanded (SciSearch), Scopus
Impact Factor 0,532

Frequency: Bi-Monthly

ISSN 0026-4946

Online ISSN 1827-1715


Minerva Pediatrica 2012 August;64(4):447-50


Atypical onset and course in a child with fulminant myocarditis

Rocchi A. 1, Mazzoni M. 1, Bertolozzi G. 1, Milani G. 1, Napolitano L. 1, Colli A. 1, Rizzuti T. 1, Bianchetti M. 2, Plebani A. 1, Laicini E. 1, Fossali E. 1

1 Cà Granda Maggiore Hospital , IRCCS Foundation, Milan, Italy;
2 Mendrisio and Bellinzona Hospital, University of Mendrisio and Bellinzona Mendrisio, Switzerland

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.

language: English


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