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Complete heart block in a 5-year-old child with varicella and acute thrombocytopenic purpura
  1. Arani Sridhar1,
  2. Anil Sapare1,
  3. Srinivas Parepalli1,
  4. Jonathan Acheson2
  1. 1Children’s Hospital, Leicester Royal Infirmary, Leicester, UK
  2. 2Emergency Department, Leicester Royal Infirmary, Leicester, UK
  1. Correspondence to Dr Arani Sridhar, arani.sridhar{at}

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A 5-year-old Caucasian male presented to the Children’s Emergency Department with epistaxis, bleeding from the dental extraction site and a widespread purpuric rash, secondary to acute idiopathic thrombocytopenia. Two days prior to this, he developed a generalised chickenpox rash. While in the department it was noted that his heart rate ranged between 50 and 60 beats per min, he was otherwise haemo-dynamically stable with a normal blood pressure and oxygen saturations in air. He had a short …

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