Document Detail


Severe left ventricular dysfunction and arrhythmias as complications of gram-positive sepsis: rapid recovery in children.
MedLine Citation:
PMID:  9770579     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
Severe left ventricular dilatation and dysfunction in children may be associated with poor outcome in as many as 45% of cases. The prognosis for children with poor left ventricular function or arrhythmias associated with septic shock may be better, however, this has been inadequately studied. We report the favorable outcome of three children who presented with Gram-positive sepsis and significant cardiovascular compromise-two with severely dilated, poorly contractile left ventricle, and one with mild left ventricular dysfunction and incessant, malignant, and rapid atrial and ventricular arrhythmias. Our experience with these patients shows that complete and rapid resolution of these complications may be achieved with aggressive therapy.
Authors:
B Ferdman; S B Jureidini; G Gale; R Mink
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Publication Detail:
Type:  Case Reports; Journal Article    
Journal Detail:
Title:  Pediatric cardiology     Volume:  19     ISSN:  0172-0643     ISO Abbreviation:  Pediatr Cardiol     Publication Date:    1998 Nov-Dec
Date Detail:
Created Date:  1999-01-04     Completed Date:  1999-01-04     Revised Date:  2008-02-20    
Medline Journal Info:
Nlm Unique ID:  8003849     Medline TA:  Pediatr Cardiol     Country:  UNITED STATES    
Other Details:
Languages:  eng     Pagination:  482-6     Citation Subset:  IM    
Affiliation:
Department of Pediatrics, Saint Louis University School of Medicine, Cardinal Glennon Children's Hospital, 1465 South Grand Boulevard, Saint Louis, MO 63104, USA.
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MeSH Terms
Descriptor/Qualifier:
Adolescent
Anti-Bacterial Agents
Child
Combined Modality Therapy
Drug Therapy, Combination / therapeutic use
Electrocardiography
Extracorporeal Membrane Oxygenation
Female
Follow-Up Studies
Humans
Male
Pneumococcal Infections / diagnosis*,  physiopathology,  therapy
Shock, Septic / diagnosis*,  physiopathology,  therapy
Staphylococcal Infections / diagnosis*,  physiopathology,  therapy
Streptococcal Infections / diagnosis*,  physiopathology,  therapy
Streptococcus pneumoniae*
Streptococcus pyogenes*
Ventricular Dysfunction, Left / diagnosis*,  physiopathology,  therapy
Ventricular Function, Left
Chemical
Reg. No./Substance:
0/Anti-Bacterial Agents

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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