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September 1, 2010Annals of Tropical Paediatrics

Fulminant enterovirus 71 infection: case report

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Population

A previously healthy 3-year-old boy with fulminant enterovirus 71 infection presenting with shock and poor…

Design

Case_report

Follow-up

5 days

Authors

KMKrit MakonkawkeyoonChiang Mai UniversityTSTavitiya SudjaritrukChiang Mai UniversityVSVirat SirisanthanaChiang Mai University

Discussion

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Implication

May support targeted therapy in severe pediatric EV71; hypothesis-generating and should not yet change practice.

Structured PICO

P
Population
A previously healthy 3-year-old boy with fulminant enterovirus 71 infection presenting with shock and poor left ventricular contraction (n=1)
I
Intervention
Milrinone, low-dose dopamine, and intravenous immunoglobulin
O
Outcome
Recovery without cardiac or neurological sequelae

Early recognition and aggressive treatment with milrinone, dopamine, and IVIG can lead to successful recovery in children with severe EV71 infection and cardiopulmonary involvement.

Cite This Study

Makonkawkeyoon et al. (2010) studied this question.

synapsesocial.com/papers/6a80301c8ae067bd3b701c82https://doi.org/10.1179/146532810x12703902516446

Topics

Echocardiography
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Also Consider

Synapse has enriched 5 closely related papers on similar clinical questions. Consider them for comparative context:

  1. 1Neurologic Complications in Children with Enterovirus 71 Infection1999 · 729 citations
  2. 2An Epidemic of Enterovirus 71 Infection in Taiwan1999 · 1,173 citations
  3. 3Neonatal Enterovirus Infection: Virology, Serology, and Effects of Intravenous Immune Globulin1995 · 237 citations
  4. 4Critical management in patients with severe enterovirus 71 infection2006 · 38 citations
  5. 5Left Ventricular Dysfunction in Children with Fulminant Enterovirus 71 Infection: An Evaluation of the Clinical Course2002 · 37 citations