The Possible Role of IVIG in the Treatment of Atrial Fibrillation Accompanied by Fulminant Myocarditis in a 12-Year-Old Pediatric Patient.

Case Reports in Pediatrics
Can Yilmaz YozgatYilmaz Yozgat

Abstract

Fulminant myocarditis (FM) is a potentially lethal condition in children due to rapid progressive hemodynamic instability and cardiogenic shock. Patients with FM might show different clinical manifestations on emergency department admission. Herein, we describe the case of a 12-year-old girl who was admitted to our institution's emergency department due to complaints of abdominal pain and incessant vomiting. However, we detected an early onset of atrial fibrillation (AF) accompanied by FM. The patient's condition of AF and severe hemodynamic disorder was successfully treated in our institution's pediatric intensive care unit. To the best of our knowledge, this is the first report of the co-occurrence of FM and AF successfully treated in childhood. This case report will serve as a guide for the treatment of cases with FM accompanied by AF.

References

Jan 1, 1994·Circulation·N A DruckerJ W Newburger
Nov 30, 2005·Liver Transplantation : Official Publication of the American Association for the Study of Liver Diseases and the International Liver Transplantation Society·Peter BorosJonathan S Bromberg
Apr 25, 2009·Journal of the American College of Cardiology·Matthias G FriedrichUNKNOWN International Consensus Group on Cardiovascular Magnetic Resonance in Myocarditis
Mar 15, 2018·Anatolian Journal of Cardiology·Giacomo VeroneseMaria Frigerio

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