A case of severe transient sinus bradycardia in herpes simplex infection

Wan Mahmud Sabri, Wan Muhammad Najib and Yahaya, Nor Azni and Alias, Amelia and Anuar, Muhamad Azamin (2021) A case of severe transient sinus bradycardia in herpes simplex infection. Malaysian Journal of Medicine and Health Sciences, 17 (4). pp. 428-430. ISSN 1675-8544 E-ISSN 2636-9346

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Abstract

Herpes simplex virus remains the commonest organism of sporadic encephalitis. Common presentations in herpes simplex encephalitis are seizures and behavioural changes apart from fever, lethargy and headache. Cardiac man�ifestations, nonetheless, are uncommon in herpes simplex infection. We presented an 8-year-old boy with clinical meningoencephalitis and bradycardia. The initial impression was typhoid meningitis due to severe bradycardia. He was managed in paediatric intensive care unit with transcutaneous cardiac pacemaker and infusion of low dose noradrenaline until the bradycardia resolved. A diagnosis of herpes simplex encephalitis was made based on clinical and specific right temporal and focal radiological findings including right insular ribbon involvement, focal changes over temporal and frontal electroencephalographic (EEG) inference and positive HSV IgM serological confirmation.

Item Type:	Article (Case Report)
Additional Information:	8392/92942
Uncontrolled Keywords:	Herpes simplex, HSV infection, Herpes infection, Sinus bradycardia, Arrhythmia
Subjects:	R Medicine > RC Internal medicine R Medicine > RJ Pediatrics R Medicine > RJ Pediatrics > RJ101 Child Heatlh. Child health services. Preventive health services for children
Kulliyyahs/Centres/Divisions/Institutes (Can select more than one option. Press CONTROL button):	Kulliyyah of Medicine Kulliyyah of Medicine > Department of Paediatrics
Depositing User:	Dr Muhamad Azamin Anuar
Date Deposited:	11 Oct 2021 14:26
Last Modified:	11 Oct 2021 14:26
URI:	http://irep.iium.edu.my/id/eprint/92942

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