On the foot and mouth disease with transient supraventricular tachycardia in 1 case report.docVIP

 PAGE \* MERGEFORMAT 3 On the foot and mouth disease with transient supraventricular tachycardia in 1 case report Of: Wu Jianguo, Wang Liping, Ki-liter water [Keywords:] hand, foot and mouth disease had transient supraventricular tachycardia A medical record Children, male, 12 years old, with a high fever with headache and found that hand, foot oral herpes, hospital. Checkup T39 ℃, BP 110/70mmHg, lungs clear breath sounds, heart rate 160 times / min, law Qi, heart sounds strong. Abdomen soft, liver and kidneys District no percussion pain, blood showed WBC 9.9 × 109 / L, NEUT% 75.0%, LYMPH% 30.0%, PLT 150 × 109 / L, urine indicated PRO (+), electrocardiogram showed heart rate of 160 times / min, legal missing, P wave is unclear, diagnosis: ventricular tachycardia. B-heart, liver and gallbladder spleen, and kidneys were normal. Liver and kidney function test results ALT 59U / L, Ur 3.8mmol / L, CR 120μmol / L, diagnostic hand, foot and mouth disease. Admission, children appeared flustered, chest tightness, Charles P 160 times / min, arrhythmias, ECG showed supraventricular tachycardia, given cedilanid 0.25mg, 30min after intravenous infusion, chest tightness gradually reduced. children with heart rhythm back to normal, give antibiotics, improve circulation and symptomatic treatment, review of liver and kidney function was normal. 2 Discussion Hand, Foot and mouth disease damage to organs, viral diseases of their immune complex series of pathological changes caused by the heart can lead to abnormal electrical activity of the heart [1,2], the pathological changes of myocardial cells is mainly the virus, lymphocytes, mononuclear cells infiltration, the most severe pathological changes are the main parts of the Ministry of the left atrium and left atrial appendage, is caused by sinoatrial dysfunction and the pathological basis of atrial arrhythmia, probably due to the lower and left atrial function, and azotemia, electrolyte disorder [3,4]. Link