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Title: Fulminant enterovirus 71 infection: Case report
Authors: K. Makonkawkeyoon
T. Sudjaritruk
V. Sirisanthana
S. Silvilairat
Keywords: Medicine
Issue Date: 1-Sep-2010
Abstract: A previously healthy 3-year-old boy presented with high-grade fever, dyspnoea, alteration of consciousness, tachycardia and shock. A few erythematous macules and papules were seen on his palms and soles. Echocardiogram showed poor left ventricular contraction. Cardiac enzymes and pro-B-type natriuretic peptide were elevated. Milrinone, low-dose dopamine and intravenous immunoglobulin were administered. The patient recovered after 5 days without cardiac or neurological sequelae. The serological results showed a four-fold rise of enterovirus 71. In children with severe EV71 infection, early recognition of cardiopulmonary involvement and aggressive treatment are crucial to successful management. © 2010 Maney.
ISSN: 14653281
Appears in Collections:CMUL: Journal Articles

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