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Complete heart block in a 5-year-old child with varicella and acute thrombocytopenic purpura
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Description
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 …