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Influenza associated with circulatory collapse and atrioventricular block in an unvaccinated child with repaired CHD

Published online by Cambridge University Press:  20 April 2020

Jyothsna Akam-Venkata*
Affiliation:
The Carman and Ann Adams Department of Pediatrics, Wayne State University School of Medicine, Children’s Hospital of Michigan, Detroit, MI, USA
Sanjeev Aggarwal
Affiliation:
The Carman and Ann Adams Department of Pediatrics, Wayne State University School of Medicine, Children’s Hospital of Michigan, Detroit, MI, USA
Peter P. Karpawich
Affiliation:
The Carman and Ann Adams Department of Pediatrics, Wayne State University School of Medicine, Children’s Hospital of Michigan, Detroit, MI, USA
*
Author for correspondence: J. Akam-Venkata, MBBS, The Carman and Ann Adams Department of Pediatrics, Wayne State University School of Medicine, Children’s Hospital of Michigan, 3901 Beaubien Boulevard, Detroit, MI48201, USA. Tel: +1 313 268 8942; Fax: +1 313 993 0894. E-mail: jyothsnaav@gmail.com

Abstract

Symptomatic, circulatory collapse occurred in an unvaccinated child with repaired congenital heart and a backup pacemaker during an Influenza B viral infection with complete atrioventricular block and pacemaker non-capture. Ventricular arrhythmias occurred during her collapse. Atrioventricular conduction recovered within 24 hours. Influenza-associated cardiac inflammation can adversely affect patients with repaired CHD. Proactive immunisation is strongly recommended.

Type
Brief Report
Copyright
© The Author(s) 2020. Published by Cambridge University Press

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