Fulminant enterovirus 71 infection: Case report

A previously healthy 3-year-old boy presented with high-grade fever, dyspnoea, alteration of consciousness, tachycardia and shock. A few erythematous macules and papules were seen on his palms and soles. Echocardiogram showed poor left ventricular contraction. Cardiac enzymes and pro-B-type natriure...

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Main Authors: Makonkawkeyoon K., Sudjaritruk T., Sirisanthana V., Silvilairat S.
Format: Journal
Published: 2017
Online Access:https://www.scopus.com/inward/record.uri?partnerID=HzOxMe3b&scp=77956433110&origin=inward
http://cmuir.cmu.ac.th/jspui/handle/6653943832/43236
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Institution: Chiang Mai University
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spelling th-cmuir.6653943832-432362017-09-28T06:52:41Z Fulminant enterovirus 71 infection: Case report Makonkawkeyoon K. Sudjaritruk T. Sirisanthana V. Silvilairat S. A previously healthy 3-year-old boy presented with high-grade fever, dyspnoea, alteration of consciousness, tachycardia and shock. A few erythematous macules and papules were seen on his palms and soles. Echocardiogram showed poor left ventricular contraction. Cardiac enzymes and pro-B-type natriuretic peptide were elevated. Milrinone, low-dose dopamine and intravenous immunoglobulin were administered. The patient recovered after 5 days without cardiac or neurological sequelae. The serological results showed a four-fold rise of enterovirus 71. In children with severe EV71 infection, early recognition of cardiopulmonary involvement and aggressive treatment are crucial to successful management. © 2010 Maney. 2017-09-28T06:52:41Z 2017-09-28T06:52:41Z 2010-09-01 Journal 02724936 2-s2.0-77956433110 10.1179/146532810X12703902516446 https://www.scopus.com/inward/record.uri?partnerID=HzOxMe3b&scp=77956433110&origin=inward http://cmuir.cmu.ac.th/jspui/handle/6653943832/43236
institution Chiang Mai University
building Chiang Mai University Library
country Thailand
collection CMU Intellectual Repository
description A previously healthy 3-year-old boy presented with high-grade fever, dyspnoea, alteration of consciousness, tachycardia and shock. A few erythematous macules and papules were seen on his palms and soles. Echocardiogram showed poor left ventricular contraction. Cardiac enzymes and pro-B-type natriuretic peptide were elevated. Milrinone, low-dose dopamine and intravenous immunoglobulin were administered. The patient recovered after 5 days without cardiac or neurological sequelae. The serological results showed a four-fold rise of enterovirus 71. In children with severe EV71 infection, early recognition of cardiopulmonary involvement and aggressive treatment are crucial to successful management. © 2010 Maney.
format Journal
author Makonkawkeyoon K.
Sudjaritruk T.
Sirisanthana V.
Silvilairat S.
spellingShingle Makonkawkeyoon K.
Sudjaritruk T.
Sirisanthana V.
Silvilairat S.
Fulminant enterovirus 71 infection: Case report
author_facet Makonkawkeyoon K.
Sudjaritruk T.
Sirisanthana V.
Silvilairat S.
author_sort Makonkawkeyoon K.
title Fulminant enterovirus 71 infection: Case report
title_short Fulminant enterovirus 71 infection: Case report
title_full Fulminant enterovirus 71 infection: Case report
title_fullStr Fulminant enterovirus 71 infection: Case report
title_full_unstemmed Fulminant enterovirus 71 infection: Case report
title_sort fulminant enterovirus 71 infection: case report
publishDate 2017
url https://www.scopus.com/inward/record.uri?partnerID=HzOxMe3b&scp=77956433110&origin=inward
http://cmuir.cmu.ac.th/jspui/handle/6653943832/43236
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