Leroch M, Grisel C, Crucis Armangaud A, Parisot P, Ou P, Bergounioux J
Service de réanimation pédiatrique et néonatale, hôpital Necker-Enfants Malades, Assistance publique des Hôpitaux de Paris, 149, rue de Sèvres, 75015 Paris, France.
Arch Pediatr. 2013 Sep;20(9):982-5. doi: 10.1016/j.arcped.2013.06.010. Epub 2013 Jul 18.
Enteroviruses are single-stranded RNA viruses of the picornavirus family. In the neonatal period, enterovirus can cause severe meningo-encephalitis, sepsis syndrome, hepatitis, or myocarditis. Neonatal enterovirus myocarditis remains a rare but severe cause of neonatal cardiac failure whose prognosis remains poor. Herein, we report the case of neonatal enterovirus myocarditis in a 14-day-old infant transferred to our intensive care unit for cardiogenic shock. Diagnosis and follow-up were confirmed using cardiac magnetic resonance imaging (MRI). We provide a detailed clinical, biological, and cardiac imaging description with specific comments on MRI diagnosis of myocarditis.
肠道病毒是微小核糖核酸病毒科的单链RNA病毒。在新生儿期,肠道病毒可引起严重的脑膜脑炎、败血症综合征、肝炎或心肌炎。新生儿肠道病毒心肌炎仍然是新生儿心力衰竭的一种罕见但严重的病因,其预后仍然很差。在此,我们报告一例14日龄婴儿因心源性休克转入我们重症监护病房的新生儿肠道病毒心肌炎病例。通过心脏磁共振成像(MRI)确诊并进行随访。我们提供了详细的临床、生物学和心脏影像学描述,并对心肌炎的MRI诊断给出了具体意见。