ISSN: 2155-9880
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Paediatric Cardiology Firm, Department of Paediatrics, College of Medicine, University of Nigeria Enugu Campus, PMB 40001, Enugu, Nigeria
Case Report
Ischemic Gangrene in a Child with Dilated Cardiomyopathy
Author(s): Josephat Chinawa*, Fortune Ujunwa, Grace Agu, Ijeoma Arodiwe and Egbuna Obidike
Gangrene from left ventricular thrombus secondary to severe left ventricular dysfunction, is a very rare disease seen in children with cardiac disease.
ON is a 6-year-old male who presented with a progressively worsening difficulty in breathing, progressively worsening facial, abdominal and leg swellings. Salient findings on examination were tender hepatomegaly, tachycardia (Pulse Rate (PR)=106 bpm) hypotension Blood Pressure (BP)=80/60 mmHg and displaced apex.
Positive findings on investigation revealed ST and Q waves abnormalities and inverted T waves on ECG, Dilated Cardiomyopathy (DCM) with pericardial effusion and left ventricular ejection fraction of 21% on echocardiography. Patient was commenced on intranasal oxygen and anti-failure regimen. He improved remarkably as evidence by improvement in clinical and echocardiographic indices.
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DOI:
10.35248/2155-9880.21.12.680