TY - JOUR AU - Vinod, Kutty Sharada AU - Gupta, Nitin AU - Sahu, Harsh AU - Wig, Naveet PY - 2017/12/31 Y2 - 2024/03/19 TI - Late Presentation of Post Diphtheritic Myocarditis in a 15-year male JF - Journal of Nepal Medical Association JA - J Nepal Med Assoc VL - 56 IS - 208 SE - Case Reports DO - 10.31729/jnma.2873 UR - http://jnma.com.np/jnma/index.php/jnma/article/view/2873 SP - 475-7 AB - <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> ER -