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Typhoid fever with myocarditis in children

Pahlavi Medical Journal
|January 1, 1977
PubMed

Insights

Typhoid myocarditis, a serious complication, can occur in children. Early consideration and treatment of heart block in typhoid fever can lead to survival.

Area of Science:

  • Pediatrics
  • Cardiology
  • Infectious Diseases

Background:

  • Typhoid fever, caused by Salmonella Typhi, can lead to severe cardiac complications.
  • Myocarditis, inflammation of the heart muscle, is a rare but critical complication of typhoid fever.

Observation:

  • Two pediatric cases of typhoid myocarditis are presented.
  • Both patients experienced heart block, a serious complication associated with high mortality.

Findings:

  • Despite the high mortality rate of typhoid myocarditis with heart block, both children survived.
  • Successful treatment of heart block was achieved using isoproterenol and xylocaine.

Implications:

  • Clinicians should consider myocarditis in the differential diagnosis of any child presenting with typhoid fever.
  • Prompt recognition and management of cardiac complications like heart block are crucial for improving outcomes in pediatric typhoid cases.

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