Key result
Treatment with antibiotics, propranolol, and digoxin successfully resolved supraventricular tachycardia complicating pneumonia in a 6-week-old infant without underlying cardiac defects.
Case Report (n=1)
No
Supraventricular tachycardia can complicate pneumonia in infants even without underlying structural heart disease, requiring a high index of suspicion and prompt medical therapy.
Answers are grounded in this paper and cite their sources.
Alerts clinicians to possible SVT in infants with pneumonia; leaves open optimal management pending larger studies.
Pneumonia is a common condition in children, especially among the under-fives and a leading cause of morbidity and mortality. Cardiac complications, including congestive heart failure, arrhythmias, myocarditis, and myocardial infarction, are a significant burden among patients hospitalized for pneumonia. Supraventricular tachycardia (SVT) is the most common cardiac arrhythmia in children requiring therapy. We present a 6-week-old Nigerian female child admitted into our children emergency with clinical features suggestive of pneumonia who subsequently developed SVT confirmed by electrocardiogram without an underlying cardiac defect. The child improved on antibiotics, propranolol, and digoxin and was discharged home for follow-up. SVT is a life-threatening clinical condition. High index of suspicion is required as recognition could be made difficult by its nonspecific symptoms.
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Susan et al. (2020) conducted a case report in Pneumonia complicated by supraventricular tachycardia (n=1). Antibiotics, propranolol, and digoxin was evaluated. Treatment with antibiotics, propranolol, and digoxin successfully resolved supraventricular tachycardia complicating pneumonia in a 6-week-old infant without underlying cardiac defects.
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