fcfaf9e3c827961f6d4d67a649d73af8 esmel-vilomara-et-al-2025-diphtheritic-myocarditis-in-an-unvaccinated-child.pdf d3ed37f600a34a63a3a7fb5af4dccd5f48ea3b47 esmel-vilomara-et-al-2025-diphtheritic-myocarditis-in-an-unvaccinated-child.pdf e813f80ee6699171dc29c1021a1b162cf5db85a50e4e22af9cf3f68431999c2d esmel-vilomara-et-al-2025-diphtheritic-myocarditis-in-an-unvaccinated-child.pdf Title: Diphtheritic Myocarditis in an Unvaccinated Child Subject: J Am Coll Cardiol Case Rep 2025.30:102972 Author: Roger Esmel-Vilomara MD Creator: Elsevier Producer: Acrobat Distiller 8.0.0 (Windows); modified using iText 4.2.0 by 1T3XT CreationDate: Wed Mar 5 04:00:53 2025 CET ModDate: Fri Nov 14 18:43:57 2025 CET Custom Metadata: yes Metadata Stream: yes Tagged: no UserProperties: no Suspects: no Form: none JavaScript: no Pages: 6 Encrypted: no Page size: 576 x 773.972 pts Page rot: 0 File size: 2032746 bytes Optimized: no PDF version: 1.7 name type encoding emb sub uni object ID ------------------------------------ ----------------- ---------------- --- --- --- --------- IFHEOC+AdvOTe81213fa+fb Type 1C Custom yes yes yes 166 0 IFHEOF+AdvP4C4E74 Type 1C Custom yes yes yes 188 0 IFHEOD+AdvOTc3f2c111.B Type 1C WinAnsi yes yes no 167 0 IFHEOG+AdvOT61751f86 Type 1C WinAnsi yes yes no 168 0 IFHEOE+AdvOTe81213fa+20 Type 1C WinAnsi yes yes no 169 0 IFHEMM+AdvOT5b669f61 Type 1C WinAnsi yes yes no 171 0 IFHEMN+AdvOTa2a4c9ce Type 1C WinAnsi yes yes no 339 0 IFHEMO+AdvOTe81213fa Type 1C WinAnsi yes yes no 173 0 IFHENP+AdvOT2986fa51 Type 1C WinAnsi yes yes no 175 0 IFHFAG+AdvPSSym Type 1C WinAnsi yes yes no 340 0 IFHEOA+AdvOT2986fa51+fb Type 1C Custom yes yes yes 196 0 IFHEOB+AdvOT78d326c7 Type 1C WinAnsi yes yes no 341 0 IFHFBK+AdvOTe60b6cd3.B Type 1C WinAnsi yes yes no 170 0 IFHFAI+AdvPS3F4C13 Type 1C WinAnsi yes yes no 172 0 IFHFBJ+AdvOT8f503d4a Type 1C WinAnsi yes yes no 174 0 IFHFAH+AdvOT1a97e067.I Type 1C WinAnsi yes yes no 176 0 IFHGPP+AdvOT8817665d Type 1C WinAnsi yes yes no 185 0 IFHJHB+AdvOTd9ad3ae4.I Type 1C WinAnsi yes yes no 189 0 IFHJHC+AdvOT2986fa51+20 Type 1C WinAnsi yes yes no 190 0 IFHLBJ+AdvOTf2345705 Type 1C WinAnsi yes yes no 195 0 Jhove (Rel. 1.28.0, 2023-05-18) Date: 2025-11-15 04:25:09 CET RepresentationInformation: esmel-vilomara-et-al-2025-diphtheritic-myocarditis-in-an-unvaccinated-child.pdf ReportingModule: PDF-hul, Rel. 1.12.4 (2023-03-16) LastModified: 2025-11-14 18:45:53 CET Size: 2032746 Format: PDF Version: 1.7 Status: Well-Formed and valid SignatureMatches: PDF-hul MIMEtype: application/pdf PDFMetadata: Objects: 0 FreeObjects: 2 IncrementalUpdates: 0 DocumentCatalog: PageLayout: SinglePage PageMode: UseOutlines Language: en Outlines: Item: Title: Diphtheritic Myocarditis in an Unvaccinated Child Destination: titlink1 Children: Item: Title: Take-Home Messages Destination: flink1 Item: Title: Past Medical History Destination: flink1 Item: Title: Differential Diagnosis Destination: flink2 Item: Title: Investigations Destination: flink3 Item: Title: Management Destination: flink4 Item: Title: Outcome Destination: flink5 Item: Title: Discussion Destination: flink6 Item: Title: Conclusions Destination: flink7 Item: Title: Funding Support and Author Disclosures Destination: flink8 Item: Title: References Destination: blink1 Filters: FilterPipeline: FlateDecode FilterPipeline: DCTDecode Images: Image: NisoImageMetadata: FormatName: image/jpg CompressionScheme: JPEG ImageWidth: 1071 ImageHeight: 563 ColorSpace: RGB BitsPerSample: 8 BitsPerSampleUnit: integer Image: NisoImageMetadata: FormatName: image/jpg CompressionScheme: JPEG ImageWidth: 1968 ImageHeight: 764 ColorSpace: RGB BitsPerSample: 8 BitsPerSampleUnit: integer Image: NisoImageMetadata: FormatName: image/jpg CompressionScheme: JPEG ImageWidth: 1968 ImageHeight: 1307 ColorSpace: RGB BitsPerSample: 8 BitsPerSampleUnit: integer Image: NisoImageMetadata: FormatName: image/jpg CompressionScheme: JPEG ImageWidth: 1694 ImageHeight: 923 ColorSpace: RGB BitsPerSample: 8 BitsPerSampleUnit: integer Fonts: Type1: Font: BaseFont: IFHLBJ+AdvOTf2345705 FontSubset: true FirstChar: 44 LastChar: 121 FontDescriptor: FontName: IFHLBJ+AdvOTf2345705 Flags: Nonsymbolic FontBBox: -62, -239, 895, 979 FontFile3: true Encoding: WinAnsiEncoding Font: BaseFont: IFHEOA+AdvOT2986fa51+fb FontSubset: true FirstChar: 1 LastChar: 1 FontDescriptor: FontName: IFHEOA+AdvOT2986fa51+fb Flags: Symbolic FontBBox: 19, 0, 916, 770 FontFile3: true EncodingDictionary: Differences: true ToUnicode: true Font: BaseFont: IFHEOC+AdvOTe81213fa+fb FontSubset: true FirstChar: 1 LastChar: 3 FontDescriptor: FontName: IFHEOC+AdvOTe81213fa+fb Flags: Symbolic FontBBox: 19, 0, 947, 791 FontFile3: true EncodingDictionary: Differences: true ToUnicode: true Font: BaseFont: IFHEOD+AdvOTc3f2c111.B FontSubset: true FirstChar: 45 LastChar: 122 FontDescriptor: FontName: IFHEOD+AdvOTc3f2c111.B Flags: Nonsymbolic FontBBox: -52, -250, 927, 1000 FontFile3: true Encoding: WinAnsiEncoding Font: BaseFont: IFHEOG+AdvOT61751f86 FontSubset: true FirstChar: 40 LastChar: 121 FontDescriptor: FontName: IFHEOG+AdvOT61751f86 Flags: Nonsymbolic FontBBox: -10, -197, 916, 875 FontFile3: true Encoding: WinAnsiEncoding Font: BaseFont: IFHEOE+AdvOTe81213fa+20 FontSubset: true FirstChar: 146 LastChar: 150 FontDescriptor: FontName: IFHEOE+AdvOTe81213fa+20 Flags: Nonsymbolic FontBBox: -187, -125, 1250, 729 FontFile3: true Encoding: WinAnsiEncoding Font: BaseFont: IFHFBK+AdvOTe60b6cd3.B FontSubset: true FirstChar: 46 LastChar: 121 FontDescriptor: FontName: IFHFBK+AdvOTe60b6cd3.B Flags: Nonsymbolic FontBBox: -52, -250, 947, 1010 FontFile3: true Encoding: WinAnsiEncoding Font: BaseFont: IFHEMM+AdvOT5b669f61 FontSubset: true FirstChar: 45 LastChar: 89 FontDescriptor: FontName: IFHEMM+AdvOT5b669f61 Flags: Nonsymbolic FontBBox: -41, -197, 1083, 927 FontFile3: true Encoding: WinAnsiEncoding Font: BaseFont: IFHFAI+AdvPS3F4C13 FontSubset: true FirstChar: 103 LastChar: 109 FontDescriptor: FontName: IFHFAI+AdvPS3F4C13 Flags: Nonsymbolic FontBBox: 0, -291, 875, 697 FontFile3: true Encoding: WinAnsiEncoding Font: BaseFont: IFHEMO+AdvOTe81213fa FontSubset: true FirstChar: 37 LastChar: 242 FontDescriptor: FontName: IFHEMO+AdvOTe81213fa Flags: Serif, Nonsymbolic FontBBox: -31, -239, 989, 1010 FontFile3: true Encoding: WinAnsiEncoding Font: BaseFont: IFHFBJ+AdvOT8f503d4a FontSubset: true FirstChar: 45 LastChar: 89 FontDescriptor: FontName: IFHFBJ+AdvOT8f503d4a Flags: Nonsymbolic FontBBox: -52, -197, 1093, 927 FontFile3: true Encoding: WinAnsiEncoding Font: BaseFont: IFHENP+AdvOT2986fa51 FontSubset: true FirstChar: 37 LastChar: 237 FontDescriptor: FontName: IFHENP+AdvOT2986fa51 Flags: Nonsymbolic FontBBox: -52, -239, 885, 979 FontFile3: true Encoding: WinAnsiEncoding Font: BaseFont: IFHFAH+AdvOT1a97e067.I FontSubset: true FirstChar: 45 LastChar: 121 FontDescriptor: FontName: IFHFAH+AdvOT1a97e067.I Flags: Nonsymbolic FontBBox: -156, -239, 1062, 1010 FontFile3: true Encoding: WinAnsiEncoding Font: BaseFont: IFHEMN+AdvOTa2a4c9ce FontSubset: true FirstChar: 67 LastChar: 121 FontDescriptor: FontName: IFHEMN+AdvOTa2a4c9ce Flags: Nonsymbolic FontBBox: -20, -197, 1072, 906 FontFile3: true Encoding: WinAnsiEncoding Font: BaseFont: IFHFAG+AdvPSSym FontSubset: true FirstChar: 170 LastChar: 170 FontDescriptor: FontName: IFHFAG+AdvPSSym Flags: Nonsymbolic FontBBox: -177, -291, 1083, 1010 FontFile3: true Encoding: WinAnsiEncoding Font: BaseFont: IFHEOB+AdvOT78d326c7 FontSubset: true FirstChar: 65 LastChar: 65 FontDescriptor: FontName: IFHEOB+AdvOT78d326c7 Flags: Nonsymbolic FontBBox: -41, -260, 979, 833 FontFile3: true Encoding: WinAnsiEncoding Font: BaseFont: IFHGPP+AdvOT8817665d FontSubset: true FirstChar: 35 LastChar: 35 FontDescriptor: FontName: IFHGPP+AdvOT8817665d Flags: Nonsymbolic FontBBox: -20, -208, 1000, 770 FontFile3: true Encoding: WinAnsiEncoding Font: BaseFont: IFHEOF+AdvP4C4E74 FontSubset: true FirstChar: 1 LastChar: 188 FontDescriptor: FontName: IFHEOF+AdvP4C4E74 Flags: Symbolic FontBBox: -20, -958, 1114, 770 FontFile3: true EncodingDictionary: Differences: true ToUnicode: true Font: BaseFont: IFHJHB+AdvOTd9ad3ae4.I FontSubset: true FirstChar: 40 LastChar: 121 FontDescriptor: FontName: IFHJHB+AdvOTd9ad3ae4.I Flags: Nonsymbolic FontBBox: -135, -239, 927, 979 FontFile3: true Encoding: WinAnsiEncoding Font: BaseFont: IFHJHC+AdvOT2986fa51+20 FontSubset: true FirstChar: 150 LastChar: 150 FontDescriptor: FontName: IFHJHC+AdvOT2986fa51+20 Flags: Nonsymbolic FontBBox: -145, -114, 1270, 739 FontFile3: true Encoding: WinAnsiEncoding XMP: application/pdf doi:10.1016/j.jaccas.2024.102972 Diphtheritic Myocarditis in an Unvaccinated Child Roger Esmel-Vilomara MD Marc Figueras-Coll MD Ferran Rosés-Noguer MD PhD Joan Balcells MD PhD Ferran Gran MD PhD diphtheria diphtheria antitoxin diphtheritic myocarditis extracorporeal membrane oxygenation vaccination JACC Case Reports, 30 (2025) 102972. doi:10.1016/j.jaccas.2024.102972 The Authors journal JACC Case Reports © 2025 The Authors. Published by Elsevier on behalf of the American College of Cardiology Foundation. 2666-0849 30 6 Part 1 19 March 2025 2025-03-19 102972 102972 10.1016/j.jaccas.2024.102972 https://doi.org/10.1016/j.jaccas.2024.102972 2010-04-23 true 10.1016/j.jaccas.2024.102972 elsevier.com sciencedirect.com VoR 7.0.1 10.1016/j.jaccas.2024.102972 noindex 2010-04-23 true sciencedirect.com elsevier.com Elsevier 2025-03-05T08:30:53+05:30 2025-11-14T09:43:57-08:00 2025-11-14T09:43:57-08:00 True 1 https://www.elsevier.com/tdm/tdmrep-policy.json Acrobat Distiller 8.0.0 (Windows); modified using iText 4.2.0 by 1T3XT uuid:03c933fe-6223-4a7e-8d25-e4f27ca41c56 uuid:0e75acfe-b76d-46ae-a6a2-cbe9322fddbc http://creativecommons.org/licenses/by-nc-nd/4.0/ Pages: Page: Label: 1 Annotations: Annotation: Subtype: Link Rect: 195, 557, 195, 559 Annotation: Subtype: Link Rect: 215, 560, 218, 567 Destination: 276 Annotation: Subtype: Link Rect: 220, 560, 223, 567 Destination: 276 Annotation: Subtype: Link Rect: 225, 560, 228, 567 Destination: 276 Annotation: Subtype: Link Rect: 299, 557, 299, 559 Annotation: Subtype: Link Rect: 319, 560, 323, 567 Destination: 276 Annotation: Subtype: Link Rect: 324, 560, 328, 567 Destination: 276 Annotation: Subtype: Link Rect: 408, 557, 408, 559 Annotation: Subtype: Link Rect: 447, 560, 450, 567 Destination: 276 Annotation: Subtype: Link Rect: 452, 560, 456, 567 Destination: 276 Annotation: Subtype: Link Rect: 160, 545, 160, 547 Annotation: Subtype: Link Rect: 200, 548, 203, 555 Destination: 276 Annotation: Subtype: Link Rect: 204, 548, 208, 555 Destination: 276 Annotation: Subtype: Link Rect: 254, 545, 254, 547 Annotation: Subtype: Link Rect: 291, 548, 294, 555 Destination: 276 Annotation: Subtype: Link Rect: 296, 548, 299, 555 Destination: 276 Annotation: Subtype: Link Rect: 186, 314, 360, 321 Annotation: Subtype: Link Rect: 195, 180, 225, 188 Destination: 2 Annotation: Subtype: Link Rect: 406, 20, 537, 27 Annotation: Subtype: Link Rect: 138, 52, 179, 58 Annotation: Subtype: Link Rect: 513, 597, 537, 621 Annotation: Subtype: Link Rect: 202, 703, 364, 708 Page: Label: 2 Annotations: Annotation: Subtype: Link Rect: 357, 378, 390, 385 Destination: 19 Annotation: Subtype: Link Rect: 363, 306, 396, 314 Destination: 49 Page: Label: 3 Annotations: Annotation: Subtype: Link Rect: 200, 258, 231, 266 Destination: 73 Annotation: Subtype: Link Rect: 90, 94, 92, 102 Destination: 73 Annotation: Subtype: Link Rect: 94, 94, 97, 102 Destination: 73 Annotation: Subtype: Link Rect: 229, 58, 231, 66 Destination: 73 Annotation: Subtype: Link Rect: 233, 58, 236, 66 Destination: 73 Annotation: Subtype: Link Rect: 300, 357, 304, 365 Destination: 73 Annotation: Subtype: Link Rect: 306, 357, 309, 365 Destination: 73 Annotation: Subtype: Link Rect: 282, 333, 285, 341 Destination: 73 Annotation: Subtype: Link Rect: 287, 333, 291, 341 Destination: 109 Annotation: Subtype: Link Rect: 334, 261, 337, 269 Destination: 109 Annotation: Subtype: Link Rect: 422, 225, 424, 233 Destination: 73 Annotation: Subtype: Link Rect: 426, 225, 430, 233 Destination: 109 Annotation: Subtype: Link Rect: 374, 178, 378, 185 Destination: 109 Annotation: Subtype: Link Rect: 400, 142, 404, 150 Destination: 109 Annotation: Subtype: Link Rect: 411, 118, 414, 126 Destination: 73 Annotation: Subtype: Link Rect: 416, 118, 419, 126 Destination: 73 Annotation: Subtype: Link Rect: 342, 106, 349, 114 Destination: 109 Annotation: Subtype: Link Rect: 351, 106, 356, 114 Destination: 109 Annotation: Subtype: Link Rect: 387, 70, 390, 78 Destination: 73 Annotation: Subtype: Link Rect: 379, 46, 382, 54 Destination: 109 Page: Label: 4 Annotations: Annotation: Subtype: Link Rect: 237, 223, 242, 230 Destination: 109 Annotation: Subtype: Link Rect: 253, 175, 256, 182 Destination: 109 Annotation: Subtype: Link Rect: 241, 139, 247, 147 Destination: 109 Annotation: Subtype: Link Rect: 221, 79, 224, 87 Destination: 73 Annotation: Subtype: Link Rect: 226, 79, 229, 87 Destination: 109 Annotation: Subtype: Link Rect: 231, 79, 237, 87 Destination: 109 Annotation: Subtype: Link Rect: 350, 223, 357, 230 Destination: 109 Annotation: Subtype: Link Rect: 359, 223, 365, 230 Destination: 109 Annotation: Subtype: Link Rect: 523, 187, 526, 194 Destination: 73 Annotation: Subtype: Link Rect: 528, 187, 534, 194 Destination: 109 Annotation: Subtype: Link Rect: 378, 163, 382, 170 Destination: 73 Annotation: Subtype: Link Rect: 384, 163, 387, 170 Destination: 109 Annotation: Subtype: Link Rect: 389, 163, 395, 170 Destination: 109 Annotation: Subtype: Link Rect: 403, 91, 408, 99 Destination: 109 Page: Label: 5 Annotations: Annotation: Subtype: Link Rect: 236, 346, 248, 354 Destination: 73 Annotation: Subtype: Link Rect: 74, 238, 80, 246 Destination: 109 Annotation: Subtype: Link Rect: 318, 169, 424, 177 Annotation: Subtype: Link Rect: 260, 158, 296, 165 Annotation: Subtype: Link Rect: 125, 92, 175, 98 Annotation: Subtype: Link Rect: 41, 83, 108, 89 Annotation: Subtype: Link Rect: 300, 110, 320, 116 Annotation: Subtype: Link Rect: 187, 101, 307, 107 Annotation: Subtype: Link Rect: 271, 62, 320, 68 Annotation: Subtype: Link Rect: 187, 53, 245, 59 Annotation: Subtype: Link Rect: 332, 74, 457, 80 Page: Label: 6 Annotations: Annotation: Subtype: Link Rect: 192, 663, 243, 669 Annotation: Subtype: Link Rect: 109, 654, 169, 660 Annotation: Subtype: Link Rect: 109, 606, 241, 612 Annotation: Subtype: Link Rect: 175, 567, 243, 573 Annotation: Subtype: Link Rect: 109, 558, 152, 564 Annotation: Subtype: Link Rect: 123, 509, 243, 515 Annotation: Subtype: Link Rect: 109, 500, 154, 506 Annotation: Subtype: Link Rect: 330, 663, 388, 669 Annotation: Subtype: Link Rect: 255, 654, 388, 660 Annotation: Subtype: Link Rect: 255, 645, 275, 651 Annotation: Subtype: Link Rect: 305, 606, 388, 612 Annotation: Subtype: Link Rect: 255, 597, 288, 603 Annotation: Subtype: Link Rect: 255, 558, 376, 564 Annotation: Subtype: Link Rect: 255, 518, 388, 524 Annotation: Subtype: Link Rect: 255, 509, 273, 515 Annotation: Subtype: Link Rect: 470, 663, 534, 669 Annotation: Subtype: Link Rect: 400, 654, 436, 660 Annotation: Subtype: Link Rect: 458, 624, 534, 630 Annotation: Subtype: Link Rect: 400, 615, 438, 621 Annotation: Subtype: Link Rect: 503, 558, 534, 564 Annotation: Subtype: Link Rect: 400, 549, 481, 555 Checksum: 4ce7ac9f Type: CRC32 Checksum: fcfaf9e3c827961f6d4d67a649d73af8 Type: MD5 Checksum: d3ed37f600a34a63a3a7fb5af4dccd5f48ea3b47 Type: SHA-1 Checksum: e813f80ee6699171dc29c1021a1b162cf5db85a50e4e22af9cf3f68431999c2d Type: SHA-256