Presentation
A 15-year old male patient presented to us with dyspnoea for four days. He had a history of fever, pseudo-membranous tonsillitis and cervical adenopathy twenty-five days prior to the presentation. [ncbi.nlm.nih.gov]
The present program has been developed on the principle that sound knowledge and reliable technology already exist for implementing community programs for the prevention and control of rheumatic fever and rheumatic heart disease with the intention of [books.google.com]
ICD 10 A … Wikipedia We are using cookies for the best presentation of our site. Continuing to use this site, you agree with this. [medicine.academic.ru]
We report six children with diphtheric myocarditis who presented with complete heart block. Three patients survived, one with persistent complete heart block. [archive.org]
In the present study, the introduction of temporary cardiac pacemakers was associated with a reduction in the mortality rate to 74%. [academic.oup.com]
Entire Body System
-
Fever
Rheumatic fever has almost disappeared from economically developed countries; this trend has paralleled improvements in standards of living. However, the recent resurgence of rheumatic fever in middle-class families in the U. S. [books.google.com]
He had a history of fever, pseudo-membranous tonsillitis and cervical adenopathy twenty-five days prior to the presentation. On examination and laboratory investigations, he had features suggestive of myocarditis with biventricular failure. [ncbi.nlm.nih.gov]
trench fever, human erlichiosis; and more. [books.google.de]
-
Congestive Heart Failure
New to the third edition are: - Expanded coverage of the coronary heart disease syndromes; congestive heart failure; arrhythmias; pacing; sudden death; lipid management (including clinical results), and a completely revised and updated section on noninvasive [books.google.de]
heart-failure. 7-9 This drug has been evaluated clinically at this hospital in five children with diphtheritic myocarditis and severe congestive heart-failure. [kundoc.com]
heart failure - ECG: ST and T wave abnormalities and arrhythmias. [mrcpart1revision.blogspot.com]
Respiratoric
-
Cough
You can catch it from a person who has the infection and coughs or sneezes. You can also get infected by coming in contact with an object, such as a toy, that has bacteria on it. Diphtheria usually affects the nose and throat. [coding-pro.com]
What is the epidemiology of the whooping cough? It is highly contagious, usually after exposure due to respiratory aerosol droplets during cough. [quizlet.com]
cough due to other Bordetella species without pneumonia A3781Whooping cough due to other Bordetella species with pneumonia A3790Whooping cough, unspecified species without pneumonia A3791Whooping cough, unspecified species with pneumonia PDX Collection [cms.gov]
A37.0 Whooping cough due to Bordetella pertussis A37.00 …… without pneumonia Reimbursement claims with a date of service on or after October 1, 2015 require the use of ICD-10-CM codes. [icd10data.com]
-
Dyspnea
Braunwald Brit cardiac output Cardiol Cardiovas Cardiovascular carotid catheter Catheterization cells Chap chest Circulation Res Clin clinical congestive heart failure contractility coronary artery curve decrease diagnosis diastolic digitalis diuretics drug dyspnea [books.google.de]
Causes are Coxsackie or adenoviral infection, Trypanosoma cruzi, Streptococcus (rheumatic carditis), diphtheria, toxoplasmosis, Lyme disease, toxins and autoimmune conditions - presents with fatigue, palpitations, chest pain, dyspnea and fulminant congestive [mrcpart1revision.blogspot.com]
Shortness of breath Dyspnea on exertion and fatigue are common. [intechopen.com]
Clinical Features and Imaging Patients with myocarditis may be asymptomatic, may have very mild nonspecific symptoms (eg, fever, chills, and dyspnea), or may exhibit more severe symptoms (eg, palpitations, syncope, and sudden death). [emedicine.medscape.com]
It appears during the second or third week and is manifested by cardiac enlargement, arrhythmia, and congestive heart failure with dyspnea. [basicmedicalkey.com]
Cardiovascular
-
Heart Disease
Prevention and control of rheumatic fever and rheumatic heart disease is an important part of the WHO cardiovascular disease program. [books.google.com]
New to the third edition are: - Expanded coverage of the coronary heart disease syndromes; congestive heart failure; arrhythmias; pacing; sudden death; lipid management (including clinical results), and a completely revised and updated section on noninvasive [books.google.de]
It is interesting that rheumatic heart disease was referred to as such but that myocarditis as [jamanetwork.com]
-
Tachycardia
[…] ischxmic changes and low voltage in one, and ventricular tachycardia in one. [kundoc.com]
[…] potassium produced pulmonary artery pulmonary edema pulse wave regurgitation renal rhythm right atrium right ventricle right ventricular second heart sound septal defect septum shunt significant sinus node sodium Sonnenblick stroke volume syncope syndrome tachycardia [books.google.de]
(SVT) and ventricular tachycardia (VT) Reference [wikidoc.org]
The arrhythmias noted included bundle branch block (BBB) tachyarrhythmias (ventricular tachycardia, supraventricular and junctional tachycardia). [omicsonline.org]
Tachycardia, hypotension, gallop rhythm, and cardiac murmur. Associated findings may include a rash or evidence of end organ involvement such as hepatitis or aseptic meningitis. 8. [slideshare.net]
-
Cardiomegaly
Cardiomegaly and diminished systolic function occur due to myocardial damage. Typical signs of CHF occur which may progress to shock,arrythmias and sudden death. 6. [slideshare.net]
Cardiomegaly and severe congestive heart failure typically appear after the first week of illness. [intechopen.com]
Inclusion criteria were the presence of HF associated with cardiomegaly in chest teleradiography and/or left ventricle (LV) dilation with reduced contractility observed by echocardiogram. [jped.com.br]
Psychiatrical
-
Fear
Diphtheria was once one of the most feared conditions to affect children and adolescents, causing death due to acute laryngeal obstruction, myocarditis, or respiratory paralysis. [academic.oup.com]
Workup
(See Etiology, Clinical, and Workup.) [emedicine.medscape.com]
QT, RR, ST Intervals
-
Prolongation of Corrected QT Interval
Additional abnormalities noted on the electrocardiograms of the prospectively studied patients included frequent ventricular ectopic beats in 12 patients, a prolonged rate-corrected QT interval (range, 0.48–0.67 s) in 19, T-wave inversion in 14, and “ [academic.oup.com]
PR Interval
-
Prolonged PR Interval
In electrocardiographic tracings, a prolonged PR interval, changes in the ST-T wave, and single or progressive cardiac dysrhythmias can occur, such as first-degree, second-degree, and third-degree heart block, atrioventricular dissociation, and ventricular [emedicine.medscape.com]
Whereas the four minor manifestations include, arthralgia, fever, elevated acute phase reactants (erythrocyte sedimentation rate, C-reactive protein) and prolonged PR interval. [intechopen.com]
Blocks
-
Third Degree Atrioventricular Block
RESULTS--Eleven patients died (46%): all seven patients with third degree atrioventricular block, the patient with bifascicular block, and three of the six patients with bundle branch block. [heart.bmj.com]
ECG findings associated with myocarditis may include first-, second- or third-degree atrioventricular block, intraventricular conduction delay (widened QRS complex), bundle branch or fascicular block, reduced R wave height, abnormal Q waves, ST-T segment [intechopen.com]
-
Complete Left Bundle Branch Block
Abstract A case of complete left bundle branch block complicating acute viral myocarditis successfully treated by Chinese herbal medicine is reported. Complete left bundle branch block may be less commonly encountered in myocarditis. [unboundmedicine.com]
The abnormalities found were grade I and Wanckebach’s A-V block, low voltage QRS, partial or complete left bundle branch block, premature beats and an infarction-like pattern. [link.springer.com]
Other Pathologies
-
Myocardial Fibrosis
fibrosis Myocarditis NOS Type 1 Excludes acute or subacute myocarditis ( I40.- ) in (due to) diphtheria A36.81 diphtheritic A36.81 ICD-10-CM Codes Adjacent To A36.81 A32.9 Listeriosis, unspecified A33 Tetanus neonatorum A34 Obstetrical tetanus A35 Other [icd10data.com]
Treatment
Steroid therapy was given in addition to specific treatment for diphtheria in one group, while the other group was given only specific treatment. The groups were comparable regarding age, duration of illness and extent of exudate. [ncbi.nlm.nih.gov]
Holmes Springer Science & Business Media, 06.12.2007 - 2926 Seiten Cardiovascular Medicine, 3rd Edition offers the most up-to-date, user-friendly guidance on the evaluation, diagnosis and medical and surgical treatment of heart and vascular disease and [books.google.de]
Getting treatment for diphtheria quickly is important. If your doctor suspects that you have it, you'll start treatment before the lab tests come back. Treatment is with antibiotics. [coding-pro.com]
Temporary insertion of a pacemaker was successful for treatment of a South African child with second-degree atrioventricular block [ 12 ], but it was unsuccessful for the treatment of 8 children (including 7 with complete heart block) in Chile [ 11 ]. [academic.oup.com]
Prognosis
The prognosis of left bundle branch block in diphtheritic myocarditis is usually poor. However, as he received DPT vaccination in the last 5 years the prognosis was tending to good. [jurnal.ugm.ac.id]
On the clinical side they discuss the diagnosis, prognosis, and treatment of nonspecific and specific myocarditis in separate chapters devoted to such major idiopathic clinical entities as cardiac sarcoidosis, giant cell myocarditis, eosinophilic myocarditis [books.google.com]
If complete heart block develops, the prognosis is almost always death [ 7, 8 ], and recovery has been reported in only a few cases [ 9, 10 ]. [academic.oup.com]
Prognosis in patients with diphtheric myocarditis and bradyarrhythmias: assessment of results of ventricular pacing. [heart.bmj.com]
It is well known that diphtheritic myocarditis, particularly when associated with heart-block, carries an extremely poor prognosis. 10-12 Experience at this institution 13 has shown that, despite vigorous medical treatment, including steroids and digitalis [kundoc.com]
Etiology
In general, the histomorphology of the affected cardiac tissue is dependent on the particular etiology. Viral Etiologies A variety of viruses can result in myocarditis although Group B Coxsackie Viruses are by far the most common. [pathwaymedicine.org]
(See Etiology, Clinical, and Workup.) [emedicine.medscape.com]
Currently, the etiology of peripartum cardiomyopathy (PPCM) remains unclear. [intechopen.com]
Epidemiology
Praxis (Bern 1994), 85, 1647-1651. [ 8 ] M, M. and M, R. (2014) Diphtheria in Andhra Pradesh—A Clinical-Epidemiological Study. [scirp.org]
What is the epidemiology of the whooping cough? It is highly contagious, usually after exposure due to respiratory aerosol droplets during cough. [quizlet.com]
Biology and molecular epidemiology of diphtheria toxin and the tox gene. J Infect Dis. 2000; 181: S156-67, CrossRef. Pohl E, Goranson-Siekierke J, Choi MK, Roosild T, Holmes RK, Hol WGJ. [inabj.org]
Ten childhood killer diseases have been kept at bay through the very successful National Immunization Programme (See box for details) implemented by the Health Ministry through the Epidemiology Unit. [sundaytimes.lk]
Epidemiological criteria: An epidemiological link by human-to-human transmission. Case classification7 A: possible case: Any person meeting the clinical criteria for respiratory diphtheria. [jpcc.in]
Pathophysiology
It was Linzbach’s belief that the pathophysiologic abnormalities of the heart, including heart failure, could only be understood when quantitative structural relations of this organ were known. [onlinejacc.org]
Prevention
The result shows that steroid therapy does not prevent the occurrence of electrocardiographic changes and of neuritis in the patient with diphtheria. [ncbi.nlm.nih.gov]
Information for Parents (Centers for Disease Control and Prevention) Diphtheria: Information for Parents (American Academy of Pediatrics) Td (Tetanus and Diphtheria) Vaccine: What You Need to Know (Centers for Disease Control and Prevention) Tdap (Tetanus [icdlist.com]
Centers for Disease Control and Prevention Diphtheria Diphtheria, tetanus, and pertussis (DTaP) vaccines -- what you need to know Diphtheria: Information for Parents (Centers for Disease Control and Prevention) - PDF Diphtheria: Information for Parents [coding-pro.com]
Prevention and control of rheumatic fever and rheumatic heart disease is an important part of the WHO cardiovascular disease program. [books.google.com]
[…] comprehensive coverage of every aspect of cardiovascular medicine from cardiac signs and symptoms and the full range of cardiac imaging techniques through management of peripheral vascular disease and the genetic basis for cardiovascular disease to preventive [books.google.de]