A CLINICAL STUDY ON THE DAMAGE OF MYOCARDIUM IN CHILDREN WITH INFECTIOUS MONONUCLEOSIS

Xu HM, Wang SY

Childrens Hospital of Chongqing Medical UniversityChongqing, China

 

Objective: To invistigate the damage of myocardium in children with Infectious Mononucleosis (IM).

Methods: The cardiac manifestation was observed, ECG was examined and the level of myocardium enzymogram including glutamic-oxalacetic transaminase (GOT), lactic dehydrogenase (LDH), hydroxybutyrate dehydrogenase (HBD), creatine kinase (CK) and the isoenzyme of creatine kinase that contains one M and one B subunit(MB) was assayed in 86 children with IM.

Results: (1)There were 32 patients (37.1%) with abnormal cardiac manifestation (five patients with abnormal symptoms and 32 patients with abnormal cardiac signs). (2) There were 34 (39.5%) patients with abnormal ECG results. (3) The level of myocardium enzymogram in serum was increased in 68 patients (79.1%).

Conclusions: The myocardium is damaged in most children with IM. It should be payed attention to and corresponding treatment should be given.

 

 
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