@article{Vinod_Gupta_Sahu_Wig_2017, title={Late Presentation of Post Diphtheritic Myocarditis in a 15-year male}, volume={56}, url={http://jnma.com.np/jnma/index.php/jnma/article/view/2873}, DOI={10.31729/jnma.2873}, abstractNote={<p class="p1">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.</p> <p class="p3"><span class="s1"><strong>Keywords:</strong></span><em> Corynebacterium diptheriae; diphtheria; myocarditis.</em></p>}, number={208}, journal={Journal of Nepal Medical Association}, author={Vinod, Kutty Sharada and Gupta, Nitin and Sahu, Harsh and Wig, Naveet}, year={2017}, month={Dec.}, pages={475–7} }