Late Presentation of Post Diphtheritic Myocarditis in a 15-year male

Journal of Nepal Medical Association

article

Kutty Sharada Vinod¹  Nitin Gupta¹  Harsh Sahu¹  Naveet Wig¹ 

[1] Department of Medicine, All India Institute of Medical Sciences

关键词: Corynebacterium diphtheriae;    Diphtheria;    Myocarditis;   

DOI  :  10.31729/jnma.2873

学科分类：社会科学、人文和艺术（综合）

来源: Nepal Medical Association since

【 摘 要 】

A 15-year old male patient presented to us with dyspnoea for four days. He had a history of fever, pseudo-membranous tonsillitis and cervical adenopathy twenty-five days prior to the presentation. On examination and laboratory investigations, he had features suggestive of myocarditis with biventricular failure. There was no reliable history of immunisation and he had a positive history of contact. He was planned for anti-diphtheria toxin but before the anti-toxin could be initiated, the patient succumbed to refractory cardiogenic shock. This was a rare case of late onset diphtheritic myocarditis in an unimmunised adult. With the advent of universal immunisation, there has been a significant decline in the incidence but there is still some road to cover.

【 授权许可】

CC BY