Age | 9 y | 16 m | 7 y | 7 y | 3 m |
Diagnosis on admission to the ICU | Myopericarditis | Suspected serious bacterial infection | Suspected toxic shock | Suspected serious bacterial infection | Suspected serious bacterial infection |
Days of fever prior to ICU admission | 6 | 2 | 3 | 3 | 1 |
Max. heart rate (normal range for age) | 100bpm (70–110) | 165bpm (80–130) | 150bpm (80–120) | 130 bpm (80–120) | 160 bpm (80–160) |
Min. blood pressure (normal for age) mmHg | 100/60 (100/61) | 95/44 (91/63) | 94/35 (97/58) | 90/40 (97/58) | 70/30 (90/50) |
Type of shock | Cardiogenic | Distributive | Distributive | Cardiogenic | Cardiogenic |
Leukocytes (xL) min–max | 6,3–13,3 | 6,1–37,2 | 5,8–11,5 | 6,58–20.1 | 7,1–31,8 |
Lowest haemoglobin (g/l) | 96 | 66 | 83 | 90 | 75 |
Platelets (xL) min–max | 168–450 | 106–749 | 51–414 | 173–646 | 8–472 |
Highest CRP (mg/l) | 413 | 539 | 356 | 161 | 261.3 |
Echocardiography findings | Ectasia RCA 4.5 mm (z score 3.9), | Ectasia LCA 3 mm (z score 2.55), | Ectasia RCA 3.6 mm (z score 3.8), | Acute myocarditis | Aneurisms |
| LAD 5 mm (z score 3.4), | RCA 2 mm (z score 1.31), | EF 47%, | Pericardial effusion | RCA: 7 mm |
| EF 30%, | EF 45% | Pericardial effusion | | CXA: 4 mm |
| Pericarditis | Arteritis LCA and LAD | | | LAD: 8 mm |
Days of fever prior IVIG | 8 | 5 | 5 | 4 | 8 |
Refractory IVIG treatment | No | Yes | Yes | No | Yes |
Mechanical ventilation | No | No | No | Yes ( 3 days) | Yes (5 days) |
Inotropic support | yes | No | yes | yes | yes |
Others treatments | – | Erythrocyte transfusion | Serum albumin | Diuretics | Infliximab |
| | | | | Platelets transfusion |
| | | | | Serum albumin |
| | | | | Heparin |
Days of ICU stay/total | 4/10 | 4/15 | 05/09 | 8/15 | 17/40 |