Diphtheritic Myocarditis: Case Series in the present era of Universal Immunization programme
Anjali Bharani, Hemant Jain.
Department of Paediatrics, Mahatma Gandhi Memorial Medical College and MY Hospital, Indore, Madhya Pradesh, India.
Abstract
Diphtheria continues to be reported from the developing world and is a major preventable disease of childhood with high morbidity and mortality. It can affect many organ systems but the cardiovascular involvement in the form of myocarditis carries a high mortality. We report a case series of eight children with the diagnosis of diphtheria who presented with arrhythmias or cardiogenic shock suggestive of severe myocardial damage. Out of eight children, five (62.5%) died. Early detection, careful monitoring and aggressive management may result in improved outcomes in these critically sick children.

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