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، جلد ۲، شماره ۱، صفحات ۴۳-۴۸
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| عنوان فارسی |
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| چکیده فارسی مقاله |
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| کلیدواژه‌های فارسی مقاله |
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| عنوان انگلیسی |
Myocarditis, a Life-Threatening Presentation of COVID-19 in a 4-Month-Old Infant |
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| چکیده انگلیسی مقاله |
Background and Aim: Significant cardiac sequelae may be one of the main causes of death in COVID-19 patients; however, very few reports are available that address these complications and their treatment strategies in children.
Case Presentation: A 4-month-old male infant was admitted to the pediatric intensive care unit with sudden tachycardia, tachypnea, and low oxygen saturation after surgery. Laboratory tests and echocardiography revealed elevated troponin I levels and myocardial dyskinesia with
decreased Left Ventricular Ejection Fraction (LVEF= 50%) and pulmonary hypertension (30 mm Hg) consistent with the cardiac injury. Despite his normal chest x-ray, the chest CT scan disclosed ground-glass opacities in the periphery of the left lower lobe indicative of viral infection. The
patient fulfilled the diagnostic criteria of the “Chinese expert consensus statement for clinical myocarditis”. The viral test for COVID-19 obtained on the first day of admission was found positive a few days later. The patient successfully recovered clinically after receiving anti-failure therapy and IVIG. Trop I level reduced to 0.10 g/L, and the LVEF eventually recovered to 68%.
Conclusion: COVID-19 patients may develop severe cardiac complications such as myocarditis and heart failure. Myocarditis in this patient was treated without antiviral drugs and only with supportive therapies. |
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| کلیدواژه‌های انگلیسی مقاله |
Coronavirus infections, COVID-19, Infantile cardiomyopathy, Ventricular dysfunction, Myocarditis, SARSCoV-2 |
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| نویسندگان مقاله |
| Shima Zargar
Department of Pediatric, School of Medicine, Arak University of Medical Sciences, Arak, Iran.
| Yazdan Ghandi
Department of Pediatric Cardiology, Amir Kabir Hospital, Arak University of Medical Sciences, Arak, Iran.
| Morteza Mousavi Hasanzadeh
Department of Pediatric, School of Medicine, Arak University of Medical Sciences, Arak, Iran.
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| نشانی اینترنتی |
http://jvessels.muq.ac.ir/browse.php?a_code=A-10-70-1&slc_lang=en&sid=1 |
| فایل مقاله |
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| کد مقاله (doi) |
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| زبان مقاله منتشر شده |
en |
| موضوعات مقاله منتشر شده |
cardiovascular diseases |
| نوع مقاله منتشر شده |
گزارش مورد |
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