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2023, Number 4

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Acta Pediatr Mex 2023; 44 (4)

Neonatal enterovirus infection with early sepsis and late myocarditis

Ríos GA, Sobrino RE, Vicente-Arche M, Moreno FL, Sánchez Fernández-Bernal C, Pérez CMC, Sevilla CMI

Language: Spanish
References: 17
Page: 284-289
PDF size: 332.35 Kb.


ABSTRACT

Background: Enterovirus infections in neonates can present as very severe manifestations with high mortality, such as hepatitis with coagulopathy, meningoencephalitis, or myocarditis.
Case presentation: We present the case of a 4-day-old neonate who presented a severe enterovirus infection. The mother had presented peripartum fever. He initially developed hepatitis with coagulopathy and thrombocytopenia that required several transfusions of blood products. After resolution, myocarditis developed that required inotropic support. The evolution was favourable.
Conclusion: This clinical case suggests that those neonates with severe early enterovirus infection may develop subsequent myocarditis and should therefore be monitored after resolution of the infection.


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