Acute Myocarditis: Clinicodemographic Features and Outcome in Children Admitted at Tertiary Care Hospital

Dr. Ayesha Amjad, Dr. Amna Nasir, Dr. Saira Khalid

Abstract


Objective: To evaluate clinicodemographic features and outcome of acute myocarditis in children admitted at Jinnah hospital.

Study Design: Retrospective study

Place and Duration of Study: This study was conducted at the Department of Pediatric Medicine, Peoples University of Medical & Health Sciences, Nawabshah from January 2015 to December 2015.

Materials and Methods: We performed a retrospective study of patients aged 1 month to 16 years who were admitted Jinnah Hospital, Nawabshah and discharged with a diagnosis of myocarditis were studied in retrospect. Clinical and demographic features and outcome were chronicled.

Results: Files of total of 50 patients with the diagnosis of myocarditis were collected and data was extracted between January 2018 and December 2018. Median age of affected children was 48 months with (35%) 13 females and (64.86%) 24 males. The primary complaint with which patient presented was respiratory distress (56%) and least common symptom was abdominal pain (5%) while the most recurrently occurring examination finding was tachycardia (68%). Average days in hospital were 11 days. The outcome regarding death and discharge was; 64.5% expired and rest was discharged.

Conclusion: Although Myocarditis is not a very common disease but its presentation mimics with symptoms of common diseases like RTI and our study also showed that the most common presentation was respiratory distress. Hence it is very important to look carefully at children presenting with such common symptoms but donot improve on antibiotics.

Key Words: Acute Myocarditis, Clinicodemographic Features, Children


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