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Rachitic hypocalcemic cardiomyopathy in an infant

Abdelwahab T H Elidrissy1, Khalid M Alharbi2, Mohammed Mufid3

  • 1Department of Pediatrics, College of Medicine, Taibah University, Medina, Saudi Arabia.

Journal of the Saudi Heart Association
|April 5, 2017
PubMed

Insights

Rickets can present as heart failure in infants, mimicking respiratory infections. Early detection and treatment of rickets lead to full recovery, preventing misdiagnosis in critically ill infants.

Area of Science:

  • Pediatrics
  • Cardiology
  • Endocrinology

Background:

  • Infant cardiomyopathy presents as heart failure without prior cardiac issues.
  • Rickets is prevalent in Saudi Arabia, necessitating clinical awareness.
  • Cardiomyopathy encompasses four distinct types.

Purpose of the Study:

  • To highlight a case of infant cardiomyopathy with rickets.
  • To emphasize the importance of considering rickets in infants with respiratory symptoms.
  • To underscore the potential for misdiagnosis of rickets as respiratory infection.

Main Methods:

  • Case report of an infant presenting with severe symptoms.
  • Clinical evaluation including biochemistry and radiology.
  • Monitoring of cardiac function and bony abnormalities during treatment.

Main Results:

  • The infant presented with classical features of rickets and was in serious condition.
  • Treatment led to complete recovery of cardiac function and healing of bony abnormalities.
  • Biochemical and radiological follow-up confirmed full recovery.

Conclusions:

  • Rickets can manifest with cardiac dysfunction in infants, potentially being misdiagnosed as respiratory infection.
  • Meticulous biochemical assessment for rickets is crucial in infants presenting with respiratory symptoms.
  • Prompt diagnosis and treatment of rickets ensure favorable outcomes in affected infants.

Keywords:
CardiomyopathyHypocalcemiaRickets

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