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Complete heart block associated with hepatitis A infection in a female child with fatal outcome
Mansoor Ahmed1, Haseena Naseer2, Mohammad Ebad Ur Rehman1
1Department of Cardiology, Holy Family Hospital, Rawalpindi Medical University, Rawalpindi, Pakistan.
Insights
Hepatitis A virus infection can lead to severe heart complications, including viral myocarditis and complete heart block. This case highlights the potential for fatal outcomes, even with medical intervention.
Area of Science:
- Cardiology
- Infectious Diseases
- Pediatrics
Background:
- Hepatitis A virus (HAV) infection is typically known for causing liver inflammation.
- Extra-hepatic manifestations of HAV, such as myocarditis, are less common but can be severe.
- Pediatric cases of HAV with cardiac involvement require careful monitoring and management.
Abstract:
Hepatitis A virus (HAV) infection can cause extra-hepatic manifestations like myocarditis. An 8-year-old female with HAV infection presented with fever, abdominal pain, vomiting, and icterus. She developed viral myocarditis with complete AV dissociation on ECG and was treated with a temporary pacemaker, but her condition worsened, and she died. Hepatitis A viral infection can be associated with viral myocarditis and complete heart block that can lead to cardiogenic shock and death eventually.
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