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Case Reports
. 2004 Sep;89(5):F461-2.
doi: 10.1136/adc.2003.034439.

Enterovirus myocarditis as a cause of neonatal collapse

D Inwald  1 , O Franklin, D Cubitt, M Peters, A Goldman, M Burch
Affiliations
Case Reports

Enterovirus myocarditis as a cause of neonatal collapse

D Inwald et al. Arch Dis Child Fetal Neonatal Ed. 2004 Sep.

Abstract

Seven neonates required intensive care at our institution with enterovirus myocarditis, 2001-2003. Presentation was at a median age of 9 days. All had ischaemic electrocardiograms, poor ventricular function, raised creatine kinase, and enterovirus RNA detected by reverse transcriptase polymerase chain reaction. Four survived. Enterovirus myocarditis may be an under recognised cause of neonatal collapse.

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Figures

Figure 1
Figure 1
Electrocardiogram showing ST segment depression in II, aVF and the anterior chest leads with poor R wave progression (case 5).
Figure 2
Figure 2
Four chamber echocardiogram (case 5) six months after myocarditis showing a dilated left ventricle, demonstrating bright echoes in a dyskinetic septum, indicating the presence of scar tissue. LV, Left ventricle; LA, left atrium. Bright area indicated by "scar" with arrows.
See this image and copyright information in PMC

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