Late Presentation of Post Diphtheritic Myocarditis in a 15-year male

  • Kutty Sharada Vinod Department of Medicine, All India Institute of Medical Sciences, New Delhi, India
  • Nitin Gupta Department of Medicine, All India Institute of Medical Sciences, New Delhi, India
  • Harsh Sahu Department of Medicine, All India Institute of Medical Sciences, New Delhi, India
  • Naveet Wig Department of Medicine, All India Institute of Medical Sciences, New Delhi, India
Keywords: Corynebacterium diphtheriae;Diphtheria; Myocarditis

Abstract

A 15-year old male patient presented to us with dyspnoea for four days. He had a history of fever, pseudo-membranous tonsillitis and cervical adenopathy twenty-five days prior to the presentation. On examination and laboratory investigations, he had features suggestive of myocarditis with biventricular failure. There was no reliable history of immunisation and he had a positive history of contact. He was planned for anti-diphtheria toxin but before the anti-toxin could be initiated, the patient succumbed to refractory cardiogenic shock. This was a rare case of late onset diphtheritic myocarditis in an unimmunised adult. With the advent of universal immunisation, there has been a significant decline in the incidence but there is still some road to cover.

Keywords: Corynebacterium diptheriae; diphtheria; myocarditis.

Published
2017-12-31
How to Cite
Vinod, K., Gupta, N., Sahu, H., & Wig, N. (2017). Late Presentation of Post Diphtheritic Myocarditis in a 15-year male. Journal of Nepal Medical Association, 56(208), 475-7. https://doi.org/10.31729/jnma.2873
Section
Case Reports