期刊
PAEDIATRICS AND INTERNATIONAL CHILD HEALTH
卷 38, 期 4, 页码 285-289出版社
TAYLOR & FRANCIS LTD
DOI: 10.1080/20469047.2017.1378796
关键词
Diphtheria; myocarditis; fatality; antitoxin; Corynebacterium diphtheria
类别
Sporadic cases of diphtheria are very rare throughout Europe. A 3-year-old incompletely vaccinated girl was admitted with pharyngotonsillitis caused by diphtheria. On day 9 of her illness, renal and cardiac failure with a third-degree AV-block occurred. Unfortunately, she died within 36 h of admission to intensive care, despite pacemaker placement, the administration of antibiotics and diphtheria antitoxin. The delayed antitoxin administration 7 days after admission to hospital was related to a lack of availability and knowledge of its availability in Europe and this is likely to have contributed to the unfavourable outcome.
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