Hostname: page-component-586b7cd67f-t8hqh Total loading time: 0 Render date: 2024-11-26T21:12:55.159Z Has data issue: false hasContentIssue false

Influenza associated with circulatory collapse and atrioventricular block in an unvaccinated child with repaired CHD

Published online by Cambridge University Press:  20 April 2020

Jyothsna Akam-Venkata*
Affiliation:
The Carman and Ann Adams Department of Pediatrics, Wayne State University School of Medicine, Children’s Hospital of Michigan, Detroit, MI, USA
Sanjeev Aggarwal
Affiliation:
The Carman and Ann Adams Department of Pediatrics, Wayne State University School of Medicine, Children’s Hospital of Michigan, Detroit, MI, USA
Peter P. Karpawich
Affiliation:
The Carman and Ann Adams Department of Pediatrics, Wayne State University School of Medicine, Children’s Hospital of Michigan, Detroit, MI, USA
*
Author for correspondence: J. Akam-Venkata, MBBS, The Carman and Ann Adams Department of Pediatrics, Wayne State University School of Medicine, Children’s Hospital of Michigan, 3901 Beaubien Boulevard, Detroit, MI48201, USA. Tel: +1 313 268 8942; Fax: +1 313 993 0894. E-mail: [email protected]

Abstract

Symptomatic, circulatory collapse occurred in an unvaccinated child with repaired congenital heart and a backup pacemaker during an Influenza B viral infection with complete atrioventricular block and pacemaker non-capture. Ventricular arrhythmias occurred during her collapse. Atrioventricular conduction recovered within 24 hours. Influenza-associated cardiac inflammation can adversely affect patients with repaired CHD. Proactive immunisation is strongly recommended.

Type
Brief Report
Copyright
© The Author(s) 2020. Published by Cambridge University Press

Access options

Get access to the full version of this content by using one of the access options below. (Log in options will check for institutional or personal access. Content may require purchase if you do not have access.)

References

Estimated Influenza Illnesses, Medical visits, Hospitalizations, and Deaths in the United States — 2017–2018 influenza season. Available at https://www.cdc.gov/flu/about/burden/2017-2018.htm. Accessed May 19, 2019.Google Scholar
Wang, J, Xu, H, Yang, X, et al.Cardiac complications associated with the influenza viruses A subtype H7N9 or pandemic H1N1 in critically ill patients under intensive care. Braz J Infect Dis 2017 Jan–Feb; 21: 1218. doi: 10.1016/j.bjid.2016.10.005. Epub 2016 Nov 29.CrossRefGoogle ScholarPubMed
Rivera-Guzmán, N, Del Olmo-Arroyo, F, Robles-Arías, CM, Rodríguez-Cintrón, W. Transient AV block as a hemodynamic complication of the influenza A virus: a case report. P R Health Sci J 2016 Sep; 35: 173175.Google ScholarPubMed
Beinart, R, Morganti, K, Ruskin, J, Mela, T. H1N1 influenza A virus induced atrioventricular block. J Cardiovasc Electrophysiol 2011 Jun; 22: 711713. doi: 10.1111/j.1540-8167.2010.01931.x. Epub 2010 Oct 19.CrossRefGoogle ScholarPubMed
Kusaka, K, Yamakawa, J, Kawaura, K, et al.Brugada-like electrocardiographic changes during influenza infection. J Int Med Res 2003 May–Jun; 31: 244246.CrossRefGoogle ScholarPubMed
Spoto, S, Valeriani, E, Locorriere, L, et al.Influenza B virus infection complicated by life-threatening pericarditis: a unique case-report and literature review. BMC Infect Dis 2019 Jan 10; 19: 40. doi: 10.1186/s12879-018-3606-7CrossRefGoogle ScholarPubMed
Udell, JA, Zawi, R, Bhatt, DL, et al.Association between influenza vaccination and cardiovascular outcomes in high-risk patients: a meta-analysis. JAMA 2013 Oct 23; 310: 17111720. doi: 10.1001/jama.2013.279206CrossRefGoogle ScholarPubMed