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Journal of Pediatric Neurology 2005; 03(02): 113-116
DOI: 10.1055/s-0035-1557250
Case Report
Georg Thieme Verlag KG Stuttgart – New York

Severe myocardial injury in an infant with hemorrhagic shock and encephalopathy syndrome

Tanil Kendirli
a   Department of Pediatric Intensive Care Unit, Ankara University School of Medicine, Ankara, Turkey
,
Derya Gümüs
a   Department of Pediatric Intensive Care Unit, Ankara University School of Medicine, Ankara, Turkey
,
Burcu Öztürk
a   Department of Pediatric Intensive Care Unit, Ankara University School of Medicine, Ankara, Turkey
,
Erdal Ince
b   Department of Pediatric Infectious Diseases, Ankara University School of Medicine, Ankara, Turkey
,
Gülhis Deda
c   Department of Pediatric Neurology, Ankara University School of Medicine, Ankara, Turkey
,
Ercan Tutar
d   Department of Pediatric Cardiology, Ankara University School of Medicine, Ankara, Turkey
› Author Affiliations
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Publication History

26 September 2004

15 November 2004

Publication Date:
29 July 2015 (online)

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Abstract

Hemorrhagic shock and encephalopathy syndrome is a severe disease that affects previously healthy infants and associated with significant mortality and neurologic morbidity. It is characterized by sudden onset of shock, convulsion and coma, bleeding due to severe coagulopathy, fever, diarrhea, metabolic acidosis, and hepatorenal dysfunction. We report a 3-month-old boy with hemorrhagic shock and encephalopathy syndrome, who had clinical and laboratory findings consistent with myocardial injury. Severe myocardial injury was demonstrated by elevation of cardaic troponin I and MB fraction of total kinase in this patient.

Keywords

Hemorrhagic shock encephalopathy syndrome - myocardial injury - cardiac troponin I