Cardiac findings in children with Crimean-Congo hemorrhagic fever

Crimean-Congo hemorrhagic fever (CCHF) involves the multi-organ systems. The involvement of the heart in adult patients has been described previously. We investigated the electrocardiographic and echocardiographic findings of pediatric patients with CCHF. Patients younger than 16 years of age diagno...

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Veröffentlicht in:Medical science monitor 2011-08, Vol.17 (8), p.CR457-CR459
Hauptverfasser: Gul, Ibrahim, Kaya, Ali, Güven, Ahmet Sami, Karapinar, Hekim, Küçükdurmaz, Zekeriya, Yilmaz, Ahmet, Içağasioğlu, Fusun Dilara, Tandoğan, Izzet
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container_end_page CR459
container_issue 8
container_start_page CR457
container_title Medical science monitor
container_volume 17
creator Gul, Ibrahim
Kaya, Ali
Güven, Ahmet Sami
Karapinar, Hekim
Küçükdurmaz, Zekeriya
Yilmaz, Ahmet
Içağasioğlu, Fusun Dilara
Tandoğan, Izzet
description Crimean-Congo hemorrhagic fever (CCHF) involves the multi-organ systems. The involvement of the heart in adult patients has been described previously. We investigated the electrocardiographic and echocardiographic findings of pediatric patients with CCHF. Patients younger than 16 years of age diagnosed with CCHF were enrolled in the study. The diagnosis of CCHF infection was based upon typical clinical and epidemiological findings and serological tests. All patients underwent a thorough cardiologic evaluation. A standard 12-lead electrocardiography and echocardiography were performed. Twenty-three consecutive patients who were hospitalized with diagnosis of CCHF were enrolled in the study (mean age: 12±2 years, 6 female). All electrocardiographic parameters were within normal ranges according to age. Seven patients (30%) had minimal (
doi_str_mv 10.12659/msm.881907
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The involvement of the heart in adult patients has been described previously. We investigated the electrocardiographic and echocardiographic findings of pediatric patients with CCHF. Patients younger than 16 years of age diagnosed with CCHF were enrolled in the study. The diagnosis of CCHF infection was based upon typical clinical and epidemiological findings and serological tests. All patients underwent a thorough cardiologic evaluation. A standard 12-lead electrocardiography and echocardiography were performed. Twenty-three consecutive patients who were hospitalized with diagnosis of CCHF were enrolled in the study (mean age: 12±2 years, 6 female). All electrocardiographic parameters were within normal ranges according to age. Seven patients (30%) had minimal (&lt;1 cm) pericardial effusion. Fifteen (65%) patients had segmental wall motion abnormalities (hypokinesia). A second echocardiography revealed that all wall motion abnormalities had disappeared; the pericardial effusion persisted in only 2 of 7 patients (28%). Cardiac involvement appears to be more frequent in children with CCHF disease than in adults, but it is slighter and almost totally reversible; however, the course of the disease in children is milder than it is in adults.</description><identifier>ISSN: 1234-1010</identifier><identifier>ISSN: 1643-3750</identifier><identifier>EISSN: 1643-3750</identifier><identifier>DOI: 10.12659/msm.881907</identifier><identifier>PMID: 21804465</identifier><language>eng</language><publisher>United States: International Scientific Literature, Inc</publisher><subject>Adolescent ; Adult ; Child ; Clinical Research ; Echocardiography ; Electrocardiography ; Female ; Heart - physiopathology ; Heart - virology ; Hemorrhagic Fever Virus, Crimean-Congo ; Hemorrhagic Fever, Crimean - pathology ; Hemorrhagic Fever, Crimean - physiopathology ; Humans ; Male ; Myocardium - pathology</subject><ispartof>Medical science monitor, 2011-08, Vol.17 (8), p.CR457-CR459</ispartof><rights>Med Sci Monit, 2011 2011</rights><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c380t-594a1be327c299c91eef148a05c6869c3579e777ac1fc4e1c1f8d70c86fa5a053</citedby><cites>FETCH-LOGICAL-c380t-594a1be327c299c91eef148a05c6869c3579e777ac1fc4e1c1f8d70c86fa5a053</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC3539607/pdf/$$EPDF$$P50$$Gpubmedcentral$$Hfree_for_read</linktopdf><linktohtml>$$Uhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC3539607/$$EHTML$$P50$$Gpubmedcentral$$Hfree_for_read</linktohtml><link.rule.ids>230,314,727,780,784,885,27924,27925,53791,53793</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/21804465$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Gul, Ibrahim</creatorcontrib><creatorcontrib>Kaya, Ali</creatorcontrib><creatorcontrib>Güven, Ahmet Sami</creatorcontrib><creatorcontrib>Karapinar, Hekim</creatorcontrib><creatorcontrib>Küçükdurmaz, Zekeriya</creatorcontrib><creatorcontrib>Yilmaz, Ahmet</creatorcontrib><creatorcontrib>Içağasioğlu, Fusun Dilara</creatorcontrib><creatorcontrib>Tandoğan, Izzet</creatorcontrib><title>Cardiac findings in children with Crimean-Congo hemorrhagic fever</title><title>Medical science monitor</title><addtitle>Med Sci Monit</addtitle><description>Crimean-Congo hemorrhagic fever (CCHF) involves the multi-organ systems. The involvement of the heart in adult patients has been described previously. We investigated the electrocardiographic and echocardiographic findings of pediatric patients with CCHF. Patients younger than 16 years of age diagnosed with CCHF were enrolled in the study. The diagnosis of CCHF infection was based upon typical clinical and epidemiological findings and serological tests. All patients underwent a thorough cardiologic evaluation. A standard 12-lead electrocardiography and echocardiography were performed. Twenty-three consecutive patients who were hospitalized with diagnosis of CCHF were enrolled in the study (mean age: 12±2 years, 6 female). All electrocardiographic parameters were within normal ranges according to age. Seven patients (30%) had minimal (&lt;1 cm) pericardial effusion. Fifteen (65%) patients had segmental wall motion abnormalities (hypokinesia). A second echocardiography revealed that all wall motion abnormalities had disappeared; the pericardial effusion persisted in only 2 of 7 patients (28%). Cardiac involvement appears to be more frequent in children with CCHF disease than in adults, but it is slighter and almost totally reversible; however, the course of the disease in children is milder than it is in adults.</description><subject>Adolescent</subject><subject>Adult</subject><subject>Child</subject><subject>Clinical Research</subject><subject>Echocardiography</subject><subject>Electrocardiography</subject><subject>Female</subject><subject>Heart - physiopathology</subject><subject>Heart - virology</subject><subject>Hemorrhagic Fever Virus, Crimean-Congo</subject><subject>Hemorrhagic Fever, Crimean - pathology</subject><subject>Hemorrhagic Fever, Crimean - physiopathology</subject><subject>Humans</subject><subject>Male</subject><subject>Myocardium - pathology</subject><issn>1234-1010</issn><issn>1643-3750</issn><issn>1643-3750</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2011</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNpVkEtLxDAUhYMojq-Ve-nOhXRMmua1EaT4AsWFug6Z9HYaaRNNZkb89wZnFF2dC_e75x4OQscET0nFmTof0ziVkigsttAe4TUtqWB4O88VrUuCCZ6g_ZReMa4kx2wXTSoicV1ztocuGxNbZ2zROd86P0-F84Xt3dBG8MWHW_RFE90IxpdN8PNQ9DCGGHszd_kGVhAP0U5nhgRHGz1AL9dXz81tef94c9dc3peWSrwomaoNmQGthK2UsooAdKSWBjPLJVeWMqFACGEs6WwNJItsBbaSd4Zlih6gi7Xv23I2QmvBL6IZ9FtOZ-KnDsbp_xvvej0PK00ZVRyLbHC6MYjhfQlpoUeXLAyD8RCWSUuJBeG5mkyerUkbQ0oRut8vBOvvzvXD04Ned57pk7_BftmfkukXLLR9cw</recordid><startdate>20110801</startdate><enddate>20110801</enddate><creator>Gul, Ibrahim</creator><creator>Kaya, Ali</creator><creator>Güven, Ahmet Sami</creator><creator>Karapinar, Hekim</creator><creator>Küçükdurmaz, Zekeriya</creator><creator>Yilmaz, Ahmet</creator><creator>Içağasioğlu, Fusun Dilara</creator><creator>Tandoğan, Izzet</creator><general>International Scientific Literature, Inc</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope><scope>5PM</scope></search><sort><creationdate>20110801</creationdate><title>Cardiac findings in children with Crimean-Congo hemorrhagic fever</title><author>Gul, Ibrahim ; Kaya, Ali ; Güven, Ahmet Sami ; Karapinar, Hekim ; Küçükdurmaz, Zekeriya ; Yilmaz, Ahmet ; Içağasioğlu, Fusun Dilara ; Tandoğan, Izzet</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c380t-594a1be327c299c91eef148a05c6869c3579e777ac1fc4e1c1f8d70c86fa5a053</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2011</creationdate><topic>Adolescent</topic><topic>Adult</topic><topic>Child</topic><topic>Clinical Research</topic><topic>Echocardiography</topic><topic>Electrocardiography</topic><topic>Female</topic><topic>Heart - physiopathology</topic><topic>Heart - virology</topic><topic>Hemorrhagic Fever Virus, Crimean-Congo</topic><topic>Hemorrhagic Fever, Crimean - pathology</topic><topic>Hemorrhagic Fever, Crimean - physiopathology</topic><topic>Humans</topic><topic>Male</topic><topic>Myocardium - pathology</topic><toplevel>online_resources</toplevel><creatorcontrib>Gul, Ibrahim</creatorcontrib><creatorcontrib>Kaya, Ali</creatorcontrib><creatorcontrib>Güven, Ahmet Sami</creatorcontrib><creatorcontrib>Karapinar, Hekim</creatorcontrib><creatorcontrib>Küçükdurmaz, Zekeriya</creatorcontrib><creatorcontrib>Yilmaz, Ahmet</creatorcontrib><creatorcontrib>Içağasioğlu, Fusun Dilara</creatorcontrib><creatorcontrib>Tandoğan, Izzet</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><collection>PubMed Central (Full Participant titles)</collection><jtitle>Medical science monitor</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Gul, Ibrahim</au><au>Kaya, Ali</au><au>Güven, Ahmet Sami</au><au>Karapinar, Hekim</au><au>Küçükdurmaz, Zekeriya</au><au>Yilmaz, Ahmet</au><au>Içağasioğlu, Fusun Dilara</au><au>Tandoğan, Izzet</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Cardiac findings in children with Crimean-Congo hemorrhagic fever</atitle><jtitle>Medical science monitor</jtitle><addtitle>Med Sci Monit</addtitle><date>2011-08-01</date><risdate>2011</risdate><volume>17</volume><issue>8</issue><spage>CR457</spage><epage>CR459</epage><pages>CR457-CR459</pages><issn>1234-1010</issn><issn>1643-3750</issn><eissn>1643-3750</eissn><abstract>Crimean-Congo hemorrhagic fever (CCHF) involves the multi-organ systems. The involvement of the heart in adult patients has been described previously. We investigated the electrocardiographic and echocardiographic findings of pediatric patients with CCHF. Patients younger than 16 years of age diagnosed with CCHF were enrolled in the study. The diagnosis of CCHF infection was based upon typical clinical and epidemiological findings and serological tests. All patients underwent a thorough cardiologic evaluation. A standard 12-lead electrocardiography and echocardiography were performed. Twenty-three consecutive patients who were hospitalized with diagnosis of CCHF were enrolled in the study (mean age: 12±2 years, 6 female). All electrocardiographic parameters were within normal ranges according to age. Seven patients (30%) had minimal (&lt;1 cm) pericardial effusion. Fifteen (65%) patients had segmental wall motion abnormalities (hypokinesia). 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subjects Adolescent
Adult
Child
Clinical Research
Echocardiography
Electrocardiography
Female
Heart - physiopathology
Heart - virology
Hemorrhagic Fever Virus, Crimean-Congo
Hemorrhagic Fever, Crimean - pathology
Hemorrhagic Fever, Crimean - physiopathology
Humans
Male
Myocardium - pathology
title Cardiac findings in children with Crimean-Congo hemorrhagic fever
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