A case of severe transient sinus bradycardia in herpes simplex infection
Herpes simplex virus remains the commonest organism of sporadic encephalitis. Common presentations in herpes simplex encephalitis are seizures and behavioural changes apart from fever, lethargy and headache. Cardiac man�ifestations, nonetheless, are uncommon in herpes simplex infection. We present...
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| Main Authors: | , , , |
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| Format: | Article |
| Language: | English |
| Published: |
Faculty of Medicine and Health Sciences, UPM
2021
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| Subjects: | |
| Online Access: | http://irep.iium.edu.my/92942/7/92942_A%20case%20of%20severe%20transient%20sinus%20bradycardia.pdf http://irep.iium.edu.my/92942/ https://medic.upm.edu.my/upload/dokumen/2021100810173259_MJMHS_0418.pdf |
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| Institution: | Universiti Islam Antarabangsa Malaysia |
| Language: | English |
| Summary: | Herpes simplex virus remains the commonest organism of sporadic encephalitis. Common presentations in herpes
simplex encephalitis are seizures and behavioural changes apart from fever, lethargy and headache. Cardiac man�ifestations, nonetheless, are uncommon in herpes simplex infection. We presented an 8-year-old boy with clinical
meningoencephalitis and bradycardia. The initial impression was typhoid meningitis due to severe bradycardia. He
was managed in paediatric intensive care unit with transcutaneous cardiac pacemaker and infusion of low dose
noradrenaline until the bradycardia resolved. A diagnosis of herpes simplex encephalitis was made based on clinical
and specific right temporal and focal radiological findings including right insular ribbon involvement, focal changes
over temporal and frontal electroencephalographic (EEG) inference and positive HSV IgM serological confirmation. |
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