International Journal of Case Reports and Images - IJCRI - Case Reports, Case Series, Case in Images, Clinical Images

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Case Report
 
Coxsackie myocarditis and temporary pacing: A case report
Moushumi Lodh1, Ashok Kumar Parida2, Joy Sanyal3, Arunangshu Ganguly4
1Senior Consultant and Head, Department of Biochemistry, The Mission Hospital, Durgapur, West Bengal, India.
2Head, Department of Cardiology, The Mission Hospital, Durgapur, West Bengal, India.
3Consultant, Department of Cardiology, The Mission Hospital, Durgapur, West Bengal, India.
4Senior Consultant Cardiologist and V.C, Mission Hospital, Durgapur, West Bengal, India.

doi:10.5348/ijcri-2012-05-125-CR-10

Address correspondence to:
Dr Moushumi Lodh,
Senior Consultant and Head of Biochemistry, The Mission Hospital
Immon Kalyan Sarani, Sector 2C
Bidhannagar, Durgapur, West Bengal
India - 713212
Phone: +91-9800881640
Fax: 0343-2532550
Email: drmoushumilodh@gmail.com

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How to cite this article:
Lodh M, Parida AK, Sanyal J, Ganguly A. Coxsackie myocarditis and temporary pacing: A case report. International Journal of Case Reports and Images 2012;3(5):45–49.


Abstract
Introduction: We report here a case of complete heart block from coxsackie myocarditis in a 15- year-old, treated by temporary pacing.
Case Report: The patient presented with history of fever five days prior to admission. This lasted for three days, followed by history of chest pain and fatiguability. ECG on admission revealed complete heart block, wide QRS escape. Blood examination revealed IgG antibody to Coxsackie virus. The patient was put on backup temporary pacing. Spontaneous recovery was seen with reversion to sinus rhythm.
Conclusion: Viral myocarditis with complete heart block can be treated conservatively and observed for recovery of conduction abnormality as in our case.

Key Words: Complete heart block, Myocarditis, Coxsackie virus, Temporary pacing

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Author Contributions:
Moushumi Lodh - Substantial contributions to conception and design, Acquisition of data, Drafting the article, Final approval of the version to be published
Ashok Kumar Parida - Substantial contributions to conception and design, Revising it critically for important intellectual content, Final approval of the version to be published
Joy Sanyal - Substantial contributions to conception and design, acquisition of data, Revising it critically for important intellectual content, Final approval of the version to be published
Arunangshu Ganguly - Substantial contributions to conception and design, Acquisition of data, Drafting the article, Final approval of the version to be published
Guarantor of submission:
The corresponding author is the guarantor of submission.
Source of support:
None
Conflict of interest:
Authors declare no conflict of interest.
Copyright:
© Moushumi Lodh et al. 2012; This article is distributed under the terms of Creative Commons Attribution License which permits unrestricted use, distribution and reproduction in any means provided the original authors and original publisher are properly credited. (Please see Copyright Policy for more information.)



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