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Acute myocarditis associated with Shigella sonnei gastroenteritis
J S Rubenstein1, Z L Noah, V R Zales
1Department of Pediatrics, Northwestern University Medical School, Chicago, Illinois.
The Journal of Pediatrics
|January 1, 1993
Summary
Acute myocarditis can occur with Shigella sonnei gastroenteritis in children. This association is rare and should be considered in pediatric shigellosis cases unresponsive to rehydration.
Area of Science:
- Pediatric Infectious Diseases
- Cardiology
Background:
- Gastroenteritis is a common childhood illness.
- Myocarditis is inflammation of the heart muscle.
Observation:
- Two pediatric cases of acute myocarditis were observed.
- These cases were temporally linked to acute Shigella sonnei gastroenteritis.
Findings:
- This is the first reported association of acute myocarditis with Shigella sonnei gastroenteritis in children.
- The cardiac complication should be considered in pediatric shigellosis.
Implications:
- Clinicians should consider myocarditis in children with shigellosis presenting with persistent symptoms despite rehydration.
- Early recognition and management of this rare complication may improve patient outcomes.
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