Paroxysmal Supraventricular Tachycardia in an Infant with Hand, Foot, and Mouth Disease

Abstract

An 11-month-old male infant was admitted to our hospital with fever, fussiness, poor feeding, vomiting, and tachypnea for two days prior. Physical examination revealed sporadic papules and vesicles occurring on his hands, feet, face, and perianal mucosa. Enterovirus 71 was identified from both throat swab and vesicle fluid using virus isolation techniques. The patient's heart rate fluctuated in a very narrow range from 180~210/beats/min regardless of his physiologic state. An electrocardiogram showed P-waves buried within or occurring just after regular, narrow, QRS complexes. The patient was diagnosed as having hand, foot, and mouth disease in combination with paroxysmal supraventricular tachycardia (PSVT). The child recovered well with symptomatic treatment, including intravenous administration of acyclovir, glucocorticoids, immunoglobulin, adenosine, and sotalol. PSVT was terminated within 36 hours of hospitalization. The skin lesions became crusted on the third day, and then proceeded to heal spontaneously. Here we report on this unusual case and review the associated literature.

Emergency department visits for paroxysmal supraventricular tachycardia in Saudi Arabia

“…[ 21 ] Patients with PSVT, without heart diseases, are more likely to be females, to be younger, to have had an earlier onset of symptoms, and have faster PSVT rates. [ 22 23 24 ] Our findings clarify that the characteristics of patients in both groups of PVST patients are the middle age with an equal proportion of male and female, the majority of which had a previous PSVT episode, but without chronic cardiac diseases such as Ischemic heart disease, heart failure, and structural heart disease. Thus, both AS-group and AR-group in our study might be classified as homogeneous PSVT groups, with heterogeneous etiology for PSVT because of lack of response to adenosine in the AR-group.…”

Evaluation of the children with Hand-foot-mouth disease in a two-years period

“…Transplasental geçen antikorların koruyuculuğu sebebiyle EAAH 1 yaş altında oldukça nadir görülür. [6,7] Çalışmamızda sadece bir hasta 9 aylık idi. Kobayashi ve ark.nın [8] olguları da 9 ay-9 yaş arasında olup, çoğu (%75) ilk 3 yaş olarak bildirilmiştir.…”

Letter to the Editor Co-infection of enterovirus 71 and Staphylococcus aureus in a 6-month-old male infant

“…Generally speaking, EV71 infection follows a benign and self-limiting course with multiple vesicles on the hands, feet and buccal mucosa. However, over the last decade EV71-associated HFMD has posed a great economic and social burden because of more frequent outbreaks with serious complications including neurological involvement, myocarditis and pulmonary edema [ 3 , 4 ]. Liu et al .…”