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Diphtheria continues to be reported from many parts of the world. Complete heart block is rare but often fatal complication of diphtheric myocarditis. We report six children with diphtheric myocarditis who presented with complete heart block. Three patients survived, one with persistent complete heart block. Aggressive supportive management including transvenous pacing may result in complete recovery in a significant number of children with diphtheric myocarditis.


Mithun J Varghese, Sivasubramanian Ramakrishnan, Shyam S Kothari, Akhil Parashar, Rajnish Juneja, Anita Saxena. Complete heart block due to diphtheritic myocarditis in the present era. Annals of pediatric cardiology. 2013 Jan;6(1):34-8

PMID: 23626433

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