Unveiling the Uncommon: A Paediatric Case of Influenza-Related Atrioventricular Block

Qu Lun, Nurjannah Hanim Mohd Yasin, Farah Fareesha A’idrus, Mohd Assyakir Shamsuddin, Mohd Hazman Kamaruzaman, M. A. R. Mohd Radzi
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Abstract

This case report highlights a 5-year-old child who developed a first-degree atrioventricular (AV) block during an influenza B infection. Influenza is a common viral illness that can cause severe morbidity and mortality, especially in children with underlying medical conditions. The case emphasizes the potential cardiac complications of influenza and the need for prompt recognition in paediatric patients. The child presented with bradycardia and a prolonged PR interval on the electrocardiogram, indicating AV block. The child had no other symptoms and was discharged in stable condition after two days of observation. Prompt recognition and evaluation of cardiac manifestations in influenza-infected patients, including thorough medical history and diagnostic workup, are crucial for the timely management and prevention of long-term sequelae. This case underscores the importance of considering cardiac complications in severe cases of influenza, especially in the paediatric population, and emphasizes the need for healthcare providers to be vigilant in identifying potential cardiac manifestations during influenza outbreaks.
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揭示不寻常:流感相关房室传导阻滞的儿科病例
本病例报告强调了一个5岁的儿童,他在乙型流感感染期间发生了一级房室传导阻滞。流感是一种常见的病毒性疾病,可导致严重的发病率和死亡率,特别是在有基础疾病的儿童中。该病例强调了流感潜在的心脏并发症和儿科患者及时识别的必要性。患儿在心电图上表现为心动过缓和PR间期延长,提示房室传导阻滞。患儿无其他症状,观察2天后出院,病情稳定。及时识别和评估流感感染患者的心脏表现,包括全面的病史和诊断检查,对于及时管理和预防长期后遗症至关重要。该病例强调了在严重流感病例中考虑心脏并发症的重要性,特别是在儿科人群中,并强调卫生保健提供者需要在流感暴发期间保持警惕,以确定潜在的心脏表现。
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