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[Post-parotitis myocarditis: case report]
M L Silva1, T L Baião Filho, V R Fernandes
1Serviço de Cardiologia Pediátrica, Hospital Infantil Joana de Gusmão, Florianópolis, SC.
Insights
A rare case of mumps-related myocarditis led to a ventricular thrombus and arterial embolization in a child. This highlights uncommon complications of epidemic parotitis, emphasizing the need for vigilance in pediatric cardiac cases.
Area of Science:
- Pediatric Cardiology
- Infectious Diseases
- Cardiovascular Pathology
Context:
- Epidemic parotitis (mumps) is a common viral illness.
- Myocarditis is a rare but known complication of mumps.
- Congestive heart failure can occur secondary to myocarditis.
Purpose:
- To report an extremely rare complication of mumps-induced myocarditis.
- To describe the formation of a left ventricular thrombus during acute myocarditis.
- To document subsequent arterial embolization from the ventricular thrombus.
Summary:
- A 6-year-old girl with post-parotitis myocarditis and heart failure developed a left ventricular apical thrombus.
- The thrombus embolized to the iliac and mesenteric arteries despite appropriate treatment.
- This case highlights the unusual thrombotic complication of mumps myocarditis.
Impact:
- This case underscores the potential for severe cardiovascular complications from mumps.
- It emphasizes the importance of echocardiography in diagnosing ventricular thrombi in pediatric myocarditis.
- The findings contribute to understanding rare thrombotic events in inflammatory cardiomyopathies.
Abstract:
In November, 1993,M.G., a 6 year and 11 month-old girl, was admitted at Hospital Infantil Joana de Gusmão--Florianópolis, SC, Brazil--with post-parotitis myocarditis and congestive heart failure. Three days after admission it was evidenced, on an echocardiogram, a thrombus in the left ventricle apex which, despite of correct treatment, embolized to iliac and small mesenteric arteries. Epidemic parotitis (mumps) is very common, being endemic around the world. Complications are rare and myocarditis, one of them, is more common than diagnosed because of its poor and benign manifestations, generally transient abnormalities of cardiac rhythm and conduction. This case was astonishing because of its rare subsequent event, that is, the formation of a ventricular mural thrombus during an acute myocarditis.
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