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: K. Makonkawkeyoon, T. Sudjaritruk, V. Sirisanthana, S. Silvilairat
Format: Journal
Published: 2018
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http://cmuir.cmu.ac.th/jspui/handle/6653943832/51040
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Institution: Chiang Mai University
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spelling th-cmuir.6653943832-510402018-09-04T04:50:35Z Fulminant enterovirus 71 infection: Case report K. Makonkawkeyoon T. Sudjaritruk V. Sirisanthana S. Silvilairat Medicine 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. 2018-09-04T04:50:35Z 2018-09-04T04:50:35Z 2010-09-01 Journal 14653281 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/6653943832/51040
institution Chiang Mai University
building Chiang Mai University Library
country Thailand
collection CMU Intellectual Repository
topic Medicine
spellingShingle Medicine
K. Makonkawkeyoon
T. Sudjaritruk
V. Sirisanthana
S. Silvilairat
Fulminant enterovirus 71 infection: Case report
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 K. Makonkawkeyoon
T. Sudjaritruk
V. Sirisanthana
S. Silvilairat
author_facet K. Makonkawkeyoon
T. Sudjaritruk
V. Sirisanthana
S. Silvilairat
author_sort K. Makonkawkeyoon
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 2018
url https://www.scopus.com/inward/record.uri?partnerID=HzOxMe3b&scp=77956433110&origin=inward
http://cmuir.cmu.ac.th/jspui/handle/6653943832/51040
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