Taquicardia supraventricular paroxística e infección grave por virus respiratorio sincitial en el período neonatal

Ocaña, Alberto; Navarro, D. Mora; Soblechero, E. García; Fuentes, C.; Quintero, M.L. Domínguez

doi:10.1016/j.anpedi.2010.10.013

Cited by 2 publications

(1 citation statement)

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“…The mechanisms underlying the pathogenesis of PSVT caused by EV71 infection are unknown. However, in reference to PSVT associated with respiratory syncytial virus infection11-13, the following hypotheses may be relevant to understanding EV71 arrhythmia syndrome. EV71 first directly invades myocardial cells14; subsequently, lymphocytic infiltration, interstitial edema, and myocardial necrosis are triggered15; and associated postinfectious immunological reactions may persist for several months16.…”

Section: Discussionmentioning

confidence: 99%

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

Hou

et al. 2012

Ann Dermatol

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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.

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