Successful treatment of severe dysrhythmias in infants with respiratory syncytial virus infections: two cases and a literature review

Critical Care Medicine
J A ThomasD L Levin

Abstract

To describe severe myocardial manifestations in two infants with respiratory syncytial virus infection and to review published literature reporting cardiac involvement in patients with respiratory syncytial virus disease. Case report and literature review. Tertiary care pediatric intensive care unit (ICU). Two infants admitted to the pediatric ICU for dysrhythmias and severe myocardial dysfunction and infected with respiratory syncytial virus. Conventional cardiovascular, antidysrhythmic, and respiratory support, as well as extracorporeal membrane oxygenation and high-frequency oscillatory ventilation. Both patients had respiratory syncytial virus infections and clinical evidence of severe myocarditis, with dysrhythmias, cardiomegaly, and cardiogenic shock. Both infants survived their hospitalizations. To our knowledge, these two patients are the first reported cases of myocarditis in infants with respiratory syncytial virus infection. Severe myocardial dysfunction and dysrhythmias may accompany respiratory syncytial virus infection in some infants and may be reversible with aggressive supportive therapy.

References

Sep 1, 1975·Archives of Neurology·R CappelG Clinet
Aug 1, 1991·International Journal of Cardiology·S Menahem
Sep 11, 1987·Cell·M B Oldstone
Feb 1, 1985·Australian and New Zealand Journal of Medicine·S Menahem, E C Uren
Oct 1, 1970·Archives of Disease in Childhood·S J Wallace, H Zealley
Feb 1, 1974·American Journal of Diseases of Children·A C BairanJ E Codd
May 1, 1982·The Journal of Pediatrics·A UngerC G Ray
Aug 12, 1982·The New England Journal of Medicine·N E MacDonaldJ A Manning
Jun 1, 1995·Intensive Care Medicine·J A GutiérrezL O Toro-Figueroa
Aug 1, 1994·Pediatric Emergency Care·J S HutchisonN Kissoon
Jul 1, 1994·The Journal of Pediatrics·R L DonnersteinM Ovadia
Oct 1, 1993·The Pediatric Infectious Disease Journal·E D McIntoshR K Oates
Feb 1, 1993·Critical Care Medicine·J H ArnoldJ C Fackler
Feb 1, 1993·Critical Care Medicine·P D GrundlB P Fuhrman
Jul 1, 1956·Proceedings of the Society for Experimental Biology and Medicine·R E BLOUNTR E SAVAGE

❮ Previous
Next ❯

Citations

Jan 8, 2004·Canadian Journal of Anaesthesia = Journal Canadien D'anesthésie·Robin G Cox
May 13, 2005·European Journal of Pediatrics·Marco PiastraGabriella De Rosa
Jun 19, 2003·Pediatric Critical Care Medicine : a Journal of the Society of Critical Care Medicine and the World Federation of Pediatric Intensive and Critical Care Societies·P A ChecchiaH P Baden
Jun 10, 2003·Pediatric Critical Care Medicine : a Journal of the Society of Critical Care Medicine and the World Federation of Pediatric Intensive and Critical Care Societies·F. LeclercC. Fourier
Apr 20, 2011·Artificial Organs·Fabrizio De RitaGiovanni Battista Luciani
Oct 26, 2010·BMC Infectious Diseases·Susanna EspositoNicola Principi
Jul 25, 2006·Critical Care : the Official Journal of the Critical Care Forum·Michael Eisenhut
Jul 3, 2020·Japanese Journal of Infectious Diseases·Hisashi KawashimaYasuyo Kashiwagi
Mar 27, 2003·Pediatric Critical Care Medicine : a Journal of the Society of Critical Care Medicine and the World Federation of Pediatric Intensive and Critical Care Societies·Gregor M WalkerCarl Davis
Jun 4, 2013·Transplant Infectious Disease : an Official Journal of the Transplantation Society·M P RubachJ R Perfect
Apr 27, 2002·Heart Disease·Aalok R Singh

❮ Previous
Next ❯

Related Concepts

Related Feeds

Atrial Fibrillation

Atrial fibrillation is a common arrhythmia that is associated with substantial morbidity and mortality, particularly due to stroke and thromboembolism. Here is the latest research.

Arrhythmia

Arrhythmias are abnormalities in heart rhythms, which can be either too fast or too slow. They can result from abnormalities of the initiation of an impulse or impulse conduction or a combination of both. Here is the latest research on arrhythmias.

Cardiogenic Shock

Cardiogenic shock is a devastating consequence of acute myocardial infarction and is associated with an extremely high mortality. Here is the latest research.

Cardiomyopathy

Cardiomyopathy is a disease of the heart muscle, that can lead to muscular or electrical dysfunction of the heart. It is often an irreversible disease that is associated with a poor prognosis. There are different causes and classifications of cardiomyopathies. Here are the latest discoveries pertaining to this disease.