Atrioventricular block in a toxic child: do not forget diphtheria.
We describe a 4.5-year-old girl who presented with severe febrile throat infection and who, after a few days, developed ventricular tachycardia followed by atrioventricular block. Although a pacemaker was inserted, she died of cardiogenic shock. Throat cultures were positive for Corynebacterium diphtheriae.
Perles
Z
Z
Department of Pediatrics, Hadassah University Hospital, Jerusalem, Israel.
Nir
A
A
Cohen
E
E
Bashary
A
A
Engelhard
D
D
D002675:Child, Preschool; D004165:Diphtheria / Q000150:complications*; D017809:Fatal Outcome; D005260:Female; D006327:Heart Block / Q000382:microbiology*; D006801:Humans; D009205:Myocarditis / Q000382:microbiology; D012770:Shock, Cardiogenic / Q000382:microbiology