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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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 |
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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. |
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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 |
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2017 |
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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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