Today, Dr. Rahul Damania, Dr. Pradip Kamat, and Dr. Monica Gray, pediatric intensivists, sit down to chat about the diagnosis and management of acute myocarditis in children. They focus on a real-life case involving a one-month-old infant who presented with poor feeding, respiratory distress, and fever. Together, they break down the possible causes, key clinical signs, diagnostic approaches, and treatment options for pediatric myocarditis. Throughout the discussion, they highlight the importance of early recognition, a multidisciplinary team approach, and supportive care in improving outcomes for these critically ill infants. This episode is packed with practical insights and is designed to help pediatric intensivists tackle this challenging and potentially life-threatening condition. Tune in to hear more!

Show Highlights:

Definition and etiology of acute myocarditis in pediatric patients
Clinical case presentation of a one-month-old infant with acute myocarditis
Symptoms and clinical manifestations of acute myocarditis in children
Diagnostic approaches for identifying acute myocarditis, including echocardiography and laboratory tests
Management strategies for acute myocarditis, including intensive care and medication
Importance of recognizing atypical presentations in infants
Prognosis and risk factors associated with acute myocarditis
Role of multidisciplinary collaboration in managing acute myocarditis
Impact of viral infections on the development and severity of myocarditis
Outcomes and potential complications related to acute myocarditis in pediatric patients

References:

Fuhrman & Zimmerman - Textbook of Pediatric Critical Care Chapter 108. Life-threatening viral diseases and their treatment. Vora S et al. Pages 1273-1278
Rogers’ textbook of Pediatric Intensive Care. Chapter 74: cardiomyopathy, myocarditis, and mechanical circulatory support. Harmon WG et al. Pages 1247-1255
Robinson J, Hartling L, Vandermeer B, Sebastianski M, Klassen TP. Intravenous immunoglobulin for presumed viral myocarditis in children and adults. Cochrane Database Syst Rev. 2020 Aug 19;8(8): CD004370. Doi: 10.1002/14651858.CD004370.pub4. PMID: 32835416

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