Evaluation of Cardiac Involvement by Echocardiography in Children with Acute Meningococcemia

  • Semra Atalay Department of Cardiac Dr. Sami Ulus Children's Hospital, Ankara, Torkiye
  • Hulya Kahraman Department of Cardiac Dr. Sami Ulus Children's Hospital, Ankara, Torkiye
  • Saimin Karademir Department of Cardiac Dr. Sami Ulus Children's Hospital, Ankara, Torkiye
  • Musa Kazim Caglar Department of Cardiac Dr. Sami Ulus Children's Hospital, Ankara, Torkiye
DOI: https://doi.org/10.14238/pi33.1-2.1993.9-14
Keywords: acute meningococcemia; myocarditis; endotoxemia; echocardiographic

Abstract

Myocarditis in acute meningococcemia is rare in children. Impaired cardiac contractile function may contribute to cardiovascular collapse in endotoxemia. We evaluated prospectively the clinical and echocardiographic findings in 25 consecutive children with acute meningococcemia. All of the patients had good prognostic indicators. Eleven (44%) of the 25 children bad echocardiographic evidence of myocardial dysfunction. The mean LVFS in these eleven children was 0.23 ± 6.00, as compared with the mean LVFS of0.34±8.87 in the remaining children. LVFS returned to normal within 7 days in all patients. We observed minimal pericardia/effusion in 4 patients (16%) that resolved within 3 days. We demonstrated that acute meningococcemia is frequently associated with myocardial dysfunction. We could not though, find the relation between myocardial dysfunction and mortality.

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Published
2018-12-11
How to Cite
1.
Atalay S, Kahraman H, Karademir S, Caglar M. Evaluation of Cardiac Involvement by Echocardiography in Children with Acute Meningococcemia. PI [Internet]. 11Dec.2018 [cited 22Nov.2024];33(1-2):9-4. Available from: https://paediatricaindonesiana.org/index.php/paediatrica-indonesiana/article/view/2049
Issue
Vol 33 No 1-2 (1993): January - February 1993
Section
Pediatric Cardiology

Copyright (c) 2018 Semra Atalay, Hulya Kahraman, Saimin Karademir, Musa Kazim Caglar

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Received 2018-12-10
Published 2018-12-11