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AJP Rep 2011; 01(01): 037-042
DOI: 10.1055/s-0031-1277102
Thieme Medical Publishers 333 Seventh Avenue, New York, NY 10001, USA.

Reversible Atrioventricular Block and Junctional Ectopic Tachycardia in Coxsackievirus B3-Induced Fetal–Neonatal Myocarditis without Left Ventricular Dysfunction

Hironori Takahashi
1   Department of Maternal–Fetal and Neonatal Medicine, National Center for Child Health and Development, Setagaya-ku, Tokyo, Japan
,
Keiko Tsukamoto
1   Department of Maternal–Fetal and Neonatal Medicine, National Center for Child Health and Development, Setagaya-ku, Tokyo, Japan
,
Shigehiro Takahashi
1   Department of Maternal–Fetal and Neonatal Medicine, National Center for Child Health and Development, Setagaya-ku, Tokyo, Japan
,
Tomoo Nakamura
1   Department of Maternal–Fetal and Neonatal Medicine, National Center for Child Health and Development, Setagaya-ku, Tokyo, Japan
,
Yushi Ito
1   Department of Maternal–Fetal and Neonatal Medicine, National Center for Child Health and Development, Setagaya-ku, Tokyo, Japan
,
Masahide Kaneko
2   Department of Medical Subspecialities, National Center for Child Health and Development, Setagaya-ku, Tokyo, Japan
,
Haruhiko Sago
1   Department of Maternal–Fetal and Neonatal Medicine, National Center for Child Health and Development, Setagaya-ku, Tokyo, Japan
› Author Affiliations
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Publication History

Publication Date:
11 April 2011 (online)

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Abstract

We present a case of fetal–neonatal acute myocarditis caused by coxsackievirus B3 infection in a term neonate. The condition manifested as high-grade atrioventricular (A-V) block prenatally. After delivery, various arrhythmias such as high-grade A-V block, ventricular tachycardia, and junctional ectopic tachycardia appeared, and we had difficulty managing these arrhythmias. This is the first report describing a case of acute myocarditis due to coxsackievirus infection presenting with fetal A-V block. This case is also unique in that it is extremely rare that various arrhythmias occur serially in one patient without left ventricular dysfunction.

Keywords

Myocarditis - junctional ectopic tachycardia - fetal atrioventricular block - amiodarone hydrochloride
 

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