Key result
Prone ventilation successfully rescued a child with H1N1-associated fulminant myocarditis and severe pediatric acute respiratory distress syndrome.
Why the study?
H1N1 influenza-associated fulminant myocarditis with pediatric acute respiratory distress syndrome is rare and poses management challenges, particularly in resource-limited settings.
Case Report (n=1)
Prone ventilation successfully rescued a child with H1N1-associated fulminant myocarditis and severe PARDS, suggesting its potential utility in resource-limited settings.
Suggests a potential rescue strategy for severe pediatric ARDS with concurrent cardiac dysfunction; leaves open.
H1N1 influenza-associated fulminant myocarditis with pediatric acute respiratory distress syndrome (PARDS) is rare. We report a child of fulminant myocarditis, severe PARDS associated with H1N1 and enteric fever. She rapidly developed severe PARDS and refractory hypoxemia. She was successfully rescued with prone ventilation. Fulminant myocarditis with PARDS can be a manifestation of H1N1 infection. These scenarios pose a tough challenge, especially in resource-limited settings. Although we successfully managed our patient with prone ventilation, success in one case cannot be generalized until more evidence is generated.
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Goswami et al. (2021) conducted a case report in Fulminant myocarditis and severe pediatric acute respiratory distress syndrome (PARDS) associated with H1N1 influenza and enteric fever (n=1). Prone ventilation was evaluated on Rescue from severe PARDS and refractory hypoxemia. Prone ventilation successfully rescued a child with H1N1-associated fulminant myocarditis and severe pediatric acute respiratory distress syndrome.
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