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December 1969

Varicella Myocarditis

Author Affiliations

From the Department of Pediatrics, Division of Cardiology, Children's Hospital, Cincinnati.

Am J Dis Child. 1969;118(6):899-902. doi:10.1001/archpedi.1969.02100040901016

MYOCARDITIS is a rare complication of varicella. Case reports describing varicella myocarditis are concerned with either necropsy findings of mild myocarditis in patients who died of other varicella complications, or with children who died suddenly with severe clinically unrecognized myocarditis.1-4 This report describes two children with varicella myocarditis and congestive heart failure who recovered.

Report of Cases  Case 1.—A 2½-year-old Negro girl was admitted to Cincinnati General Hospital with a one day history of varicella skin lesions, hyperemesis, and periorbital edema. The child had been admitted to the same ward 17 days earlier with Shigella gastroenteritis. She was given ampicillin and had a benign hospital course. Exposure to varicella occurred on several occasions during that admission.On the day following discharge, the patient was readmitted. Physical examination revealed an ill child with frequent retching and initial lesions of varicella. Her temperature was 100.6 F (38.1 C); pulse rate, 120