title: [A case of fulminant myocarditis successfully treated by percutaneous cardiopulmonary support after 50 minuite-cardiopulmonary resuscitation].
abstract: We report a case of an 8-year-old girl with fulminant myocarditis successfully treated with percutaneous cardiopulmonary support (PCPS). She was first taken to our hospital for treatment of suspected infective enterocolitis since her main symptoms were fever, vomiting and diarrhea. On day 2 after admission, her ECG showed wide QRS and echocardiography demonstrated severe hypokinesis. She was transferred to the ICU with suspected acute myocarditis. On admission to the ICU, circulatory collapse was not detected. ECG showed severe bradycardia and ventricular fibrillation after intubation. Cardiopulmonary resuscitation was performed immediately for 50 minutes prior to initiation of PCPS. She was treated intensively with catecholamines, plasma exchange, continuous hemodiafiltration, high-dose gamma-globulin, and high dose methylprednisolone. Hypothermia therapy was also performed. She was weaned from PCPS on day 6 after initiation of PCPS. The patient was finally discharged from the hospital without any neurological complications on day 68 after weaning from PCPS. The proportion of patients in whom cardiopulmonary resuscitation was performed or having ventricular tachycardia or fibrillation were higher in non-survivors than in survivors.
authors.affiliation: Department of Anesthesiology, Osaka Medical College, Takatsuki 569-8686.
authors.forename: Maiko
authors.initials: M
authors.lastname: Asano
authors.forename: Masako
authors.initials: M
authors.lastname: Soen
authors.forename: Yumi
authors.initials: Y
authors.lastname: Doi
authors.forename: Kanta
authors.initials: K
authors.lastname: Kishi
authors.forename: Kenichi
authors.initials: K
authors.lastname: Okumura
authors.forename: Yasuhiko
authors.initials: Y
authors.lastname: Mori
authors.forename: Shintaro
authors.initials: S
authors.lastname: Nemoto
authors.forename: Masataka
authors.initials: M
authors.lastname: Hayashi
authors.forename: Osamu
authors.initials: O
authors.lastname: Umegaki
authors.forename: Toshiaki
authors.initials: T
authors.lastname: Minami
mesh_terms: D000208:Acute Disease; D016887:Cardiopulmonary Resuscitation / Q000379:methods*; D002648:Child; D005260:Female; D006801:Humans; D009205:Myocarditis / Q000628:therapy*