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Case Reports
. 2021 May 20:2021:6689865.
doi: 10.1155/2021/6689865. eCollection 2021.

The Possible Role of IVIG in the Treatment of Atrial Fibrillation Accompanied by Fulminant Myocarditis in a 12-Year-Old Pediatric Patient

Can Yilmaz Yozgat  1 , Osman Yesilbas  2 , Selcuk Uzuner  3 , Nigar Bayramova  3 , Gokce Ergun  3 , Lala Nurmammadova  3 , Eser Tekin  3 , Hafize Otcu Temur  4 , Yilmaz Yozgat  5
Affiliations
Case Reports

The Possible Role of IVIG in the Treatment of Atrial Fibrillation Accompanied by Fulminant Myocarditis in a 12-Year-Old Pediatric Patient

Can Yilmaz Yozgat et al. Case Rep Pediatr. .

Abstract

Background: Fulminant myocarditis (FM) is a potentially lethal condition in children due to rapid progressive hemodynamic instability and cardiogenic shock. Patients with FM might show different clinical manifestations on emergency department admission.

Case: Herein, we describe the case of a 12-year-old girl who was admitted to our institution's emergency department due to complaints of abdominal pain and incessant vomiting. However, we detected an early onset of atrial fibrillation (AF) accompanied by FM. The patient's condition of AF and severe hemodynamic disorder was successfully treated in our institution's pediatric intensive care unit.

Conclusion: To the best of our knowledge, this is the first report of the co-occurrence of FM and AF successfully treated in childhood. This case report will serve as a guide for the treatment of cases with FM accompanied by AF.

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Conflict of interest statement

The authors declare that they have no conflicts of interest.

Figures

Figure 1
Figure 1
ECG showing atrial fibrillation.
Figure 2
Figure 2
The bedside monitoring image showing AF-induced polymorphic artery trace, and the alterations in pulse oximeter were in accordance with polymorphic artery trace.
Figure 3
Figure 3
ECG disclosing AF and multifocal ventricular ectopic beats due to the aberrant conduction of atrial fibrillation.
Figure 4
Figure 4
ECG strip showing after cardioversion. The patient's rhymes were turned into sinus.
Figure 5
Figure 5
M-mode LV function before the patient was discharged from the PICU.
See this image and copyright information in PMC

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