Severe myocardial injury in an infant with hemorrhagic shock and encephalopathy syndrome

Article type: Research Article

Authors: Kendirli, Tanil | Gümüs, Derya | Öztürk, Burcu | Ince, Erdal | Deda, Gülhis | Tutar, Ercan

Affiliations: Department of Pediatric Intensive Care Unit, Ankara University School of Medicine, Ankara, Turkey | Department of Pediatric Infectious Diseases, Ankara University School of Medicine, Ankara, Turkey | Department of Pediatric Neurology, Ankara University School of Medicine, Ankara, Turkey | Department of Pediatric Cardiology, Ankara University School of Medicine, Ankara, Turkey

Note: [] Correspondence: Tanil Kendirli, M.D., Kazim Orbay Mahallesi, 28. Sokak 31/9, Mamak, Ankara, Turkey. Tel.: +90 312 362 30 30; Fax: +90 312 362 05 81; E-mail: [email protected]

Abstract: Hemorrhagic shock and encephalopathy syndrome is a severe disease that affects previously healthy infants and associated with significant mortality and neurologic morbidity. It is characterized by sudden onset of shock, convulsion and coma, bleeding due to severe coagulopathy, fever, diarrhea, metabolic acidosis, and hepatorenal dysfunction. We report a 3-month-old boy with hemorrhagic shock and encephalopathy syndrome, who had clinical and laboratory findings consistent with myocardial injury. Severe myocardial injury was demonstrated by elevation of cardaic troponin I and MB fraction of total kinase in this patient.

Keywords: hemorrhagic shock encephalopathy syndrome, myocardial injury, cardiac troponin I

Journal: Journal of Pediatric Neurology, vol. 3, no. 2, pp. 113-116, 2005