ACTA FAC MED NAISS 2010; 27 (3):179-183

Case report

UDC: 616.127-002-053.6:615.35

Pulse Dose of Metil-Prednisolon as a Life-Saving Treatment Option in a 14-year-old Boy

with Fulminant Myocarditis - Case Report

 

Bojko Bjelaković¹, Ljiljana Šulović², Danijela Jovančić¹, Ljiljana Šaranac¹, Jelena Vojinović¹, Sergej Prijić³, Vladislav Vukomanović³, Stevan Ilić<sup>4

1</sup>Clinic of Pediatrics, Clinical Center Niš, Serbia

²Faculty of Medicine - University of Kosovska Kamenica

³Mother and Child Health Institute, “Dr Vukan Čupić”, Belgrade

⁴Institute for Treatment and Rehabilitation “Niška Banja”, Niška Banja, Serbia

SUMMARY

To date, there are still no relevant clinical practice guidelines addressing the initial treatment approach in children with myocarditis. On the other hand, only few non-randomized clinical studies and case reports suggest the beneficial effects of corticosteroids in seriously ill children with acute myocarditis. We report on a case of a 14-year-old boy with fulminant myocardits who was treated with high doses of corticosteroids. Continuous clinical deterioration and nonresponsivness to conventional therapy of our patient, in contrast to his marked clinical improvement occurring promptly after intravenous bolus of methylprednisolone, strongly point out to the beneficial effect of methylprednisolon in children with fulminant myocarditis.

Key words: fulminant myocarditis, corticosteroids, children