DIPHTHERIA MYOCARDITIS � CLINICAL EXPERIENCE AT A TERITIARY CARE HOSPITAL � A CROSS�SECTIONAL OBSERVATIONAL STUDY

Dr.Suneetha Karumuri; Dr.Vamsi Krishna Marakkagari; Dr.Praveen Nagula; Dr.Subba Reddy Venkata Yerrabandi

Volume : VI, Issue : X, October - 2016

DIPHTHERIA MYOCARDITIS � CLINICAL EXPERIENCE AT A TERITIARY CARE HOSPITAL � A CROSS�SECTIONAL OBSERVATIONAL STUDY

Dr. Suneetha Karumuri, Dr. Vamsi Krishna Marakkagari, Dr. Praveen Nagula, Dr. Subba Reddy Venkata Yerrabandi

Abstract :

Background: Diphtheria is endemic in India with high incidence of myocarditis. Objectives:To study the clinical profile, Electrocardiography, Echocardiography findings, Serum electrolytes, Creatinine and Immunization in patients with Diphtheria myocarditis. Methods: A single centre observational study (July 2014 to December 2015) of clinically confirmed diagnosis of diphtheritic myocarditis patients. Results: A Total of 41 cases were enrolled, of whom 39 patients died. Only two patients survived. Males :Female ratio was 1.27:1. Most common age group was 5–10 years 20 patients (51.2%).Partial immunization was seen in 24 (61.6%),no immunization in 15 (38.4%) patients. Complete heart block was most common ECG change noted in 21(53.8%),Left bundle anch block in 7(17.9%) patients. Severe LV dysfunction was seen in 24 (62%)patients. Raised serum creatinine was seen in 5(12.9%) patients. Most common mode of death was malignant ventricular arrhythmias seen in 26 (66.6%) patients. Conclusion: The mortality is higher with dyselectrolytemias, ECG changes and unimmunized status.