Amiodarone induced pulmonary fibrosis in infancy

Pacing Clin Electrophysiol. 1998 Aug;21(8):1665-7. doi: 10.1111/j.1540-8159.1998.tb00257.x.

Abstract

We report a case of pulmonary fibrosis in an infant receiving amiodarone for treatment of intractable atrioventricular reentrant tachycardia secondary to Wolff-Parkinson-White syndrome. At 9 months, a screening chest radiograph showed a diffuse interstitial infiltrate in an asymptomatic, thriving infant. Amiodarone was discontinued and the pulmonary fibrosis resolved gradually over 6 months. This case documents the first report of amiodarone induced pulmonary fibrosis in the pediatric age group. We speculate that as amiodarone is used more frequently to manage pediatric arrhythmias, pulmonary fibrosis, a known complication of this antiarrhythmia in adults may be seen with increasing frequency in children.

Publication types

  • Case Reports

MeSH terms

  • Adrenergic beta-Antagonists / therapeutic use
  • Amiodarone / adverse effects*
  • Anti-Arrhythmia Agents / adverse effects*
  • Electrocardiography, Ambulatory
  • Follow-Up Studies
  • Humans
  • Infant, Newborn
  • Male
  • Propranolol / therapeutic use
  • Pulmonary Fibrosis / chemically induced*
  • Pulmonary Fibrosis / diagnostic imaging
  • Radiography, Thoracic
  • Tachycardia, Supraventricular / congenital
  • Tachycardia, Supraventricular / drug therapy
  • Tachycardia, Supraventricular / physiopathology
  • Tomography, X-Ray Computed

Substances

  • Adrenergic beta-Antagonists
  • Anti-Arrhythmia Agents
  • Propranolol
  • Amiodarone