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KMID : 0032220120240020200
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Annals of Dermatology
2012 Volume.24 No. 2 p.200 ~ p.202
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Paroxysmal Supraventricular Tachycardia in an Infant with Hand, Foot, and Mouth Disease
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Hu Peng
Hou Shu
Du Peng-Fei
Li Jia-Bin
Ye Ying
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Abstract
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An 11-month-old male infant was admitted to our hospital with fever, fussiness, poor feeding, vomiting, and tachypnea for two days prior. Physical examination revealed sporadic papules and vesicles occurring on his hands, feet, face, and perianal mucosa. Enterovirus 71 was identified from both throat swab and vesicle fluid using virus isolation techniques. The patient’s heart rate fluctuated in a very narrow range from 180~210/beats/min regardless of his physiologic state. An electrocardiogram showed P-waves buried within or occurring just after regular, narrow, QRS complexes. The patient was diagnosed as having hand, foot, and mouth disease in combination with paroxysmal supraventricular tachycardia (PSVT). The child recovered well with symptomatic treatment, including intravenous administration of acyclovir, glucocorticoids, immunoglobulin, adenosine, and sotalol. PSVT was terminated within 36 hours of hospitalization. The skin lesions became crusted on the third day, and then proceeded to heal spontaneously. Here we report on this unusual case and review the associated literature. (Ann Dermatol 24(2) 200∼202, 2012)
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KEYWORD
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Electrocardiography, Hand, foot and mouth disease, Enterovirus 71, Paroxysmal supraventricular tachycardia
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