Late presentation of post diphtheritic myocarditis in a 15-year male

Kutty Sharada Vinod, Nitin Gupta, Harsh Sahu, Naveet Wig

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A 15-year old male patient presented to us with dyspnoea for four days. He had a history of fever, pseudo-membranous tonsillitis and cervical adenopathy twenty-five days prior to the presentation. On examination and laboratory investigations, he had features suggestive of myocarditis with biventricular failure. There was no reliable history of immunisation and he had a positive history of contact. He was planned for anti-diphtheria toxin but before the anti-toxin could be initiated, the patient succumbed to refractory cardiogenic shock. This was a rare case of late onset diphtheritic myocarditis in an unimmunised adult. With the advent of universal immunisation, there has been a significant decline in the incidence but there is still some road to cover.

Original languageEnglish
Pages (from-to)475-477
Number of pages3
JournalJournal of the Nepal Medical Association
Issue number208
Publication statusPublished - 01-10-2017

All Science Journal Classification (ASJC) codes

  • Medicine(all)


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