SciELO - Scientific Electronic Library Online

 
vol.82 número6Alta frecuencia de pancreatitis aguda asociada a patología biliar en niños chilenosSarcoidosis infantil. Una rara enfermedad pediátrica: Caso clínico índice de autoresíndice de materiabúsqueda de artículos
Home Pagelista alfabética de revistas  

Servicios Personalizados

Revista

Articulo

Indicadores

Links relacionados

Compartir


Revista chilena de pediatría

versión impresa ISSN 0370-4106

Resumen

MORALES V, Gonzalo; RIQUELME Q, Maryel; YUNGE B, Mauricio  y  VON DESSAUER G, Bettina. Myocardial involvement in severe H1N1 influenza infection. Rev. chil. pediatr. [online]. 2011, vol.82, n.6, pp.531-534. ISSN 0370-4106.  http://dx.doi.org/10.4067/S0370-41062011000600008.

Introduction: During the winter of 2009, some patients infected with Influenza virus H1N1 presented a severe disease. Some isolated reports of myocarditis were described. Objective: To describe severe cases of H1N1 with myocardial involvement. Patients and Methods: Chart review of children between 0-15 y.o. diagnosed as presenting Influenza A H1N1 through Polimerase Chain Reaction, who were admitted to the PICU at Hospital Roberto del Río and Clínica Dávila between June and July of 2009. Myocardial involvement was considered positive if the clinical picture showed such signs, and/or there was an altered echocardiogram. Results: Twenty one patients were hospitalized with the diagnosis of severe Infection by Influenza A H1N1 (+), of which 8 patients (38%) presented myocardial involvement. All required mechanical ventilation. Echocardiogram performed in the first 24 hours post admission showed shortening of the left ventricle on average 21,8%, with a range of 19 to 38%. In 7 patients (87.5%) a systodyastolic dysfunction was shown. Myocardial involvement lasted from 2 to 10 days (median 4). One patient died. Conclusions: Involvement of myocardium is frequent in this series. It must be sought to treat it adequately.

Palabras clave : Myocarditis; influenza; H1N1; echocardiogram.

        · resumen en Español     · texto en Español     · Español ( pdf )

 

Creative Commons License Todo el contenido de esta revista, excepto dónde está identificado, está bajo una Licencia Creative Commons