title: Intravenous gamma-globulin therapy in myocarditis complicated with complete heart block: Report of one case.
abstract: Myocarditis complicated with complete heart block is rare in childhood. We report a case of 4-year-old child presented with complete heart block which may have been caused by Mycoplasma pneumoniae. Under emergent temporal pacing, patient experienced cardiogenic shock with pulmonary edema eventually. The cardiopulmonary function was improved with atrial rhythm at the 6th hour later after intravenous infusion with high-dose gamma-globulin (IVIG). The IVIG therapy may have immunomodulatory effects and serve as a potential adjunctive therapy for fulminant myocarditis.
authors.affiliation: Departments of Pediatrics, Tri-Service General Hospital & National Defense Medical Center, Taipei, Taiwan, Taipei, Taiwan.
authors.forename: Y G
authors.initials: YG
authors.lastname: Tsai
authors.forename: T Y
authors.initials: TY
authors.lastname: Ou
authors.forename: C C
authors.initials: CC
authors.lastname: Wang
authors.forename: M C
authors.initials: MC
authors.lastname: Tsai
authors.forename: Y S
authors.initials: YS
authors.lastname: Yuh
authors.forename: B
authors.initials: B
authors.lastname: Hwang
mesh_terms: D002304:Cardiac Pacing, Artificial; D002675:Child, Preschool; D004562:Electrocardiography; D004636:Emergency Service, Hospital; D006327:Heart Block / Q000000981:diagnostic imaging / Q000382:microbiology* / Q000503:physiopathology; D006801:Humans; D016756:Immunoglobulins, Intravenous / Q000627:therapeutic use*; D008297:Male; D009205:Myocarditis / Q000150:complications* / Q000188:drug therapy* / Q000382:microbiology / Q000473:pathology; D011019:Pneumonia, Mycoplasma / Q000150:complications*; D014463:Ultrasonography
chemical_list: D016756:Immunoglobulins, Intravenous