On the afternoon of October 6, Dr. Nguyen Minh Tien, Deputy Director of the City Children's Hospital (HCMC), said that the hospital had just admitted a 6-year-old girl in critical condition due to cardiogenic shock.
Before that, PNQ (6 years old, female, living in An Phu Tay commune, Ho Chi Minh City) went to her hometown to play. In her hometown, the child was sick for 2 days. On the first day, Q. had a mild fever 3-4 times/day, complained of fatigue, headache, and vomiting. On the second day, the child still had a fever, vomited many times, complained of fatigue, chest pain, and cold hands and feet.
The family then took the child to the local hospital in a state of shock, with blood pressure difficult to measure, heart rhythm disturbances, and supraventricular tachycardia. Here, the child was intubated, given vasopressors, and then transferred to the City Children's Hospital.

Children are receiving intensive treatment at the City Children's Hospital (Photo: Hospital).
At the time of admission, doctors noted that the child was lethargic, had pale lips, had difficult to measure blood pressure, had difficult to detect radial pulse, had irregular heart rate, blood pressure dropped to 60/40 mmHg, and was being ventilated through an endotracheal tube. Paraclinical and ultrasound results also revealed many abnormalities. The child was diagnosed with acute myocarditis, cardiogenic shock, and arrhythmia on day 2.
Immediately, the patient was given respiratory resuscitation, vasopressors, and antiarrhythmic drugs. The team also placed an extracorporeal membrane oxygenation (ECMO) machine.
In addition, the child continued to receive blood and platelet transfusions, electrolyte and acid-base adjustments. The child's disease progressed complicatedly, with complications of multiple organ failure, severe liver and kidney damage, combined with 6 consecutive blood filtration cycles and liver support treatment.
After nearly 3 weeks of ECMO and intensive treatment, the child's heart gradually recovered and the arrhythmia improved. The child was taken off ECMO and continued to have 4 more continuous blood filtration cycles.
After 2 months, the patient was taken off the ventilator after many failures. The baby was able to slowly breathe fresh air, his heart rate returned to normal, his liver and kidney function was stable, and he was urinating well.
Through this case, Dr. Tien warned that during the changing seasons, erratic stormy weather can cause viral infections, causing complications of myocarditis in older children.
Adults may have mild fever, fatigue, headache, vomiting, abdominal pain, easily confused with gastrointestinal disease, pale complexion, pale hands and feet, pale fingernails, fainting, chest pain...
Children with abnormal symptoms should be taken to a medical facility with a pediatric specialist for examination, early diagnosis of myocarditis and appropriate treatment.
Source: https://dantri.com.vn/suc-khoe/can-benh-de-gap-luc-giao-mua-co-the-khien-con-ban-soc-tim-20251006192720645.htm
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