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Biomarkers detect involvement of acute myocardial injury in a paediatric haemolytic–uraemic syndrome patient

Published online by Cambridge University Press:  03 February 2016

Daniel Palanca Arias ,
Marta López Ramón  and
Lorenzo Jiménez Montañés
Daniel Palanca Arias*
Affiliation:
Pediatric Intensive Care Unit, Department of Pediatrics, Hospital Infantil Universitario Miguel Servet, Zaragoza, Spain Pediatric Cardiology Unit, Department of Pediatrics, Hospital Infantil Universitario Miguel Servet, Zaragoza, Spain
Marta López Ramón
Affiliation:
Pediatric Cardiology Unit, Department of Pediatrics, Hospital Infantil Universitario Miguel Servet, Zaragoza, Spain
Lorenzo Jiménez Montañés
Affiliation:
Pediatric Cardiology Unit, Department of Pediatrics, Hospital Infantil Universitario Miguel Servet, Zaragoza, Spain
*
Correspondence to: D. Palanca Arias, PhD, Pediatric Cardiology and Pediatric Intensive Care Unit, Department of Pediatrics, Hospital Infantil Universitario Miguel Servet, Paseo Isabel La Católica, Vía Hispanidad, Bloque 10, 3V. 50009 Zaragoza, Spain. Tel: +34 620 44 65 87; Fax: 976091601; E-mail: [email protected]
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Abstract

Although extrarenal manifestations of haemolytic–uraemic syndrome are not frequent, myocardial dysfunction should be given special consideration because of the importance of proper early haemodynamic management and potential complications. We report the case of a 21-month-old child with haemolytic–uraemic syndrome who developed clinical signs of poor myocardial function with depressed myocardial function noted by bedside echocardiography and significant elevation of biomarkers. Early intervention and supportive treatment for the patient were crucial during the acute phase of cardiac failure, and repeated monitoring of biomarkers and ecocardiography were useful diagnostic tools that provided relevant information throughout the patient’s evolution.

Keywords

Haemolytic–uraemic syndromeechocardiographymyocardial ischaemiadilated cardiomyopathybiomarkers
Type
Brief Reports
Information
Cardiology in the Young , Volume 26 , Issue 5 , June 2016 , pp. 983 - 986
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Copyright
© Cambridge University Press 2016 

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