[Skip to Content]
[Skip to Content Landing]
Article
May 1954

FINAL REPORT ON A CASE OF MYOCARDITIS FOLLOWING MEASLES

Author Affiliations

BROOKLYN
From the Department of Pediatrics, State University of New York College of Medicine at New York City, Brooklyn, and the Long Island College Hospital.

AMA Am J Dis Child. 1954;87(5):615. doi:10.1001/archpedi.1954.02050090603011
Abstract

IN 1950, Giustra and Nilsson1 reported a case of myocarditis following measles in a child of 5½ years of age. Examination of the heart presented varied and serious disorders of cardiac rhythm, consisting of bizarre arrhythmias, supraventricular tachycardias, and conduction blocks. These attacks occurred frequently during a three-year observation, necessitating hospitalization and quinidine therapy. The pattern of each attack was similar, being ushered in by severe intermittent abdominal pain followed by vomiting, the presence of tachycardia, and enlargement of the liver. The acute attacks were relieved by intravenous quinidine therapy. However, three years following the initial observation, the child died during a convulsive seizure which accompanied an attack of tachycardia.

The autopsy findings relating to the heart were interesting and worthy of comment. They revealed a generalized subendocardial sclerosis and focal fibrosis in the left bundle branch. The dilatation and hypertrophy of the heart was more pronounced on the

First Page Preview View Large
First page PDF preview
First page PDF preview
×