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Myocarditis in a pediatric case of pandemic 2009H1N1 influenza
Author(s) -
Jibiki Toshiaki,
Sakamoto Ryota,
Nakaya Mitsuru,
Kanazawa Masaki,
Gotoh Fumihiro,
Yamaguchi Seiichi,
Kutsuna Satoru,
Hashimoto Yuji,
Anzai Satoshi,
Abe Katsuaki
Publication year - 2012
Publication title -
pediatrics international
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.49
H-Index - 63
eISSN - 1442-200X
pISSN - 1328-8067
DOI - 10.1111/j.1442-200x.2012.03592.x
Subject(s) - medicine , asthma , intensive care medicine , myocarditis , pneumonia , acute respiratory distress , disease , pandemic , respiratory failure , pediatrics , covid-19 , lung , infectious disease (medical specialty)
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.