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[Myocarditis in children affected by dengue hemorrhagic fever in a teaching hospital in Colombia].
- Source :
-
Revista de salud publica (Bogota, Colombia) [Rev Salud Publica (Bogota)] 2009 Aug; Vol. 11 (4), pp. 591-600. - Publication Year :
- 2009
-
Abstract
- Objective: To determining myocarditis frequency in children suffering from DHF in the Huila region of Colombia.<br />Methods: This was a descriptive and prospective study which was carried out between March 2005 and October 2005 involving 102 patients suffering from DHF, based on WHO criteria. These children were followed-up to identify signs of myocarditis.<br />Results: 10.7 % of the children had signs of myocarditis; one of them was classified as having dengue II and the other ten were classified as suffering form dengue III and IV. This difference was statistically significant (p=0.0004). 10 patients had fulminant myocarditis and required early inotropic support. Two patients had tachyarrythmias in the EKG (one SV and one ventricular); the others had sinusal bradichardia and low voltages. Echocardiograms were perfomed on 50 % of the children, revealing pericardial leakage grade I and II in two patients, one with very diminished EF and AF. Average hospital stay was 7 days. 10 had satisfactory outcome whereas one died.<br />Conclusion: This series of cases in children reinforces the association between myocarditis and dengue viral infection.
Details
- Language :
- Spanish; Castilian
- ISSN :
- 2539-3596
- Volume :
- 11
- Issue :
- 4
- Database :
- MEDLINE
- Journal :
- Revista de salud publica (Bogota, Colombia)
- Publication Type :
- Academic Journal
- Accession number :
- 20169215
- Full Text :
- https://doi.org/10.1590/s0124-00642009000400010