Outbreak of Acute Fulminant Myocarditis in Children in Campania Region, Italy: A Case Series

Acute fulminant myocarditis is a rare event in children, accounting for about 10% of all cases of acute myocarditis. Its lack of specific onset patterns and unpredictable evolution make diagnosis and prompt treatment challenging. We observed six cases of fulminant myocarditis admitted to our Pediatr...

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Main Authors: Antonietta Giannattasio, Marco Maglione, Giangiacomo Di Nardo, Giovanni Maria Di Marco, Daria Lauretta, Maria Chiara Carrella, Daniela Furlan, Fabio Savoia, Vincenzo Tipo
Format: Article
Language:English
Published: MDPI AG 2024-11-01
Series:Children
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Online Access:https://www.mdpi.com/2227-9067/11/12/1414
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author Antonietta Giannattasio
Marco Maglione
Giangiacomo Di Nardo
Giovanni Maria Di Marco
Daria Lauretta
Maria Chiara Carrella
Daniela Furlan
Fabio Savoia
Vincenzo Tipo
author_facet Antonietta Giannattasio
Marco Maglione
Giangiacomo Di Nardo
Giovanni Maria Di Marco
Daria Lauretta
Maria Chiara Carrella
Daniela Furlan
Fabio Savoia
Vincenzo Tipo
author_sort Antonietta Giannattasio
collection DOAJ
description Acute fulminant myocarditis is a rare event in children, accounting for about 10% of all cases of acute myocarditis. Its lack of specific onset patterns and unpredictable evolution make diagnosis and prompt treatment challenging. We observed six cases of fulminant myocarditis admitted to our Pediatric Emergency Unit (Campania region, Sothern Italy) within a very short timeframe (50 days, from July to September 2024). Three of them died, and two are still under treatment in a Pediatric Cardiologic Intensive Care Unit in critical condition. In only one case, cardiac function improved. The described cases were not geographically linked, belonging to different areas of Southern Italy. No common etiological agent was found. Given the relatively low incidence of the condition, the occurrence of six pediatric myocarditis within approximately two months should be considered exceptional. Careful monitoring of further cases in the next few months should be warranted.
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series Children
spelling doaj-art-a9cc2ba9aa564fdc90334d5135a03c7b2025-08-20T02:55:44ZengMDPI AGChildren2227-90672024-11-011112141410.3390/children11121414Outbreak of Acute Fulminant Myocarditis in Children in Campania Region, Italy: A Case SeriesAntonietta Giannattasio0Marco Maglione1Giangiacomo Di Nardo2Giovanni Maria Di Marco3Daria Lauretta4Maria Chiara Carrella5Daniela Furlan6Fabio Savoia7Vincenzo Tipo8Pediatric Emergency Unit, Santobono-Pausilipon Children’s Hospital, 80129 Naples, ItalyPediatric Emergency Unit, Santobono-Pausilipon Children’s Hospital, 80129 Naples, ItalyPediatric Cardiology Unit, Santobono-Pausilipon Children’s Hospital, 80129 Naples, ItalyPediatric Cardiology Unit, Santobono-Pausilipon Children’s Hospital, 80129 Naples, ItalyPediatric Cardiology Unit, Santobono-Pausilipon Children’s Hospital, 80129 Naples, ItalyPediatric Emergency Unit, Santobono-Pausilipon Children’s Hospital, 80129 Naples, ItalyPediatric Emergency Unit, Santobono-Pausilipon Children’s Hospital, 80129 Naples, ItalyChildhood Cancer Registry of Campania, Santobono-Pausilipon Children’s Hospital, 80129 Naples, ItalyPediatric Emergency Unit, Santobono-Pausilipon Children’s Hospital, 80129 Naples, ItalyAcute fulminant myocarditis is a rare event in children, accounting for about 10% of all cases of acute myocarditis. Its lack of specific onset patterns and unpredictable evolution make diagnosis and prompt treatment challenging. We observed six cases of fulminant myocarditis admitted to our Pediatric Emergency Unit (Campania region, Sothern Italy) within a very short timeframe (50 days, from July to September 2024). Three of them died, and two are still under treatment in a Pediatric Cardiologic Intensive Care Unit in critical condition. In only one case, cardiac function improved. The described cases were not geographically linked, belonging to different areas of Southern Italy. No common etiological agent was found. Given the relatively low incidence of the condition, the occurrence of six pediatric myocarditis within approximately two months should be considered exceptional. Careful monitoring of further cases in the next few months should be warranted.https://www.mdpi.com/2227-9067/11/12/1414fulminant myocarditischildrenoutbreak
spellingShingle Antonietta Giannattasio
Marco Maglione
Giangiacomo Di Nardo
Giovanni Maria Di Marco
Daria Lauretta
Maria Chiara Carrella
Daniela Furlan
Fabio Savoia
Vincenzo Tipo
Outbreak of Acute Fulminant Myocarditis in Children in Campania Region, Italy: A Case Series
Children
fulminant myocarditis
children
outbreak
title Outbreak of Acute Fulminant Myocarditis in Children in Campania Region, Italy: A Case Series
title_full Outbreak of Acute Fulminant Myocarditis in Children in Campania Region, Italy: A Case Series
title_fullStr Outbreak of Acute Fulminant Myocarditis in Children in Campania Region, Italy: A Case Series
title_full_unstemmed Outbreak of Acute Fulminant Myocarditis in Children in Campania Region, Italy: A Case Series
title_short Outbreak of Acute Fulminant Myocarditis in Children in Campania Region, Italy: A Case Series
title_sort outbreak of acute fulminant myocarditis in children in campania region italy a case series
topic fulminant myocarditis
children
outbreak
url https://www.mdpi.com/2227-9067/11/12/1414
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