title: Junctional tachycardia in a child with non-rheumatic fever streptococcal pharyngitis.
abstract: Accelerated junctional rhythm has been reported in children in the setting of acute rheumatic fever; however, we describe a hitherto unreported case of isolated junctional tachycardia in a child with streptococcal pharyngitis, not meeting revised Jones criteria for rheumatic fever. A previously healthy, 9-year-old girl presented to the emergency department with complaints of sore throat, low-grade fever, and intermittent chest pain. She was found to have a positive rapid streptococcal antigen test. The initial electrocardiogram showed junctional tachycardia with atrioventricular dissociation in addition to prolonged and aberrant atrioventricular conduction. An echocardiogram revealed normal cardiac anatomy with normal biventricular function. The patient responded to treatment with amoxicillin for streptococcal pharyngitis. The junctional tachycardia and other electrocardiogram abnormalities resolved during follow-up.
authors.affiliation: The Carmen and Ann Adams Department of Pediatrics,Division of Cardiology,The Children's Hospital of Michigan,School of Medicine,Wayne State University,Detroit,Michigan,United States of America.
authors.forename: Neha
authors.initials: N
authors.lastname: Bansal
authors.affiliation: The Carmen and Ann Adams Department of Pediatrics,Division of Cardiology,The Children's Hospital of Michigan,School of Medicine,Wayne State University,Detroit,Michigan,United States of America.
authors.forename: Peter P
authors.initials: PP
authors.lastname: Karpawich
authors.affiliation: The Carmen and Ann Adams Department of Pediatrics,Division of Cardiology,The Children's Hospital of Michigan,School of Medicine,Wayne State University,Detroit,Michigan,United States of America.
authors.forename: Chenni S
authors.initials: CS
authors.lastname: Sriram
mesh_terms: D000658:Amoxicillin / Q000627:therapeutic use; D000900:Anti-Bacterial Agents / Q000627:therapeutic use; D002637:Chest Pain; D002648:Child; D004562:Electrocardiography; D005260:Female; D006801:Humans; D010612:Pharyngitis / Q000150:complications* / Q000382:microbiology; D012213:Rheumatic Fever; D013290:Streptococcal Infections / Q000150:complications* / Q000188:drug therapy* / Q000382:microbiology; D013613:Tachycardia, Ectopic Junctional / Q000175:diagnosis* / Q000188:drug therapy
chemical_list: D000900:Anti-Bacterial Agents; D000658:Amoxicillin
keywords: Junctional tachycardia; arrhythmia; streptococcal pharyngitis