A common pediatric presentation of an unusual disease: non-compaction cardiomyopathy

Background: Shortness of breath is a very common presentation at the pediatric emergency department, but making a diagnosis based on it is very challenging for physicians because of the numerous differential diagnoses, including respiratory and cardiac causes. Case Presentation: Herein, we describe...

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Main Authors: Dalia Zaghabah, Roaa Jamjoom
Format: Article
Language:English
Published: Discover STM Publishing Ltd 2020-06-01
Series:Saudi Journal of Emergency Medicine
Subjects:
Online Access:http://www.ejmanager.com/fulltextpdf.php?mno=73097
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author Dalia Zaghabah
Roaa Jamjoom
author_facet Dalia Zaghabah
Roaa Jamjoom
author_sort Dalia Zaghabah
collection DOAJ
description Background: Shortness of breath is a very common presentation at the pediatric emergency department, but making a diagnosis based on it is very challenging for physicians because of the numerous differential diagnoses, including respiratory and cardiac causes. Case Presentation: Herein, we describe the case of a 2-month-old patient who presented to our emergency department in October 2017 with shortness of breath for 3 weeks duration. She was diagnosed as having lower respiratory tract infection; a cardiac murmur was incidentally found, which turned out to be a very rare congenital cardiac disease: left ventricular non-compaction cardiomyopathy (LVNC). She was treated with anti-failure medications but unfortunately died before cardiac transplant. Conclusion: As demonstrated by this case, non-compaction cardiomyopathy can be easily missed and misdiagnosed because of its rarity and diverse symptoms on presentation. Since corresponding treatment modalities are lacking, the prevention of associated complications is the primary goal of LVNC management. [SJEMed 2020; 1(1.000): 25-29]
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spelling doaj.art-626edf6443294637abfdd9522fc969ee2023-07-03T16:27:37ZengDiscover STM Publishing LtdSaudi Journal of Emergency Medicine1658-84872020-06-0111252910.24911/SJEMed/72-157338927073097A common pediatric presentation of an unusual disease: non-compaction cardiomyopathyDalia Zaghabah0Roaa Jamjoom1Pediatric Emergency Consultant, Emergency Medicine Department, Faculty of Medicine, King Abdulaziz University, Jeddah, Saudi Arabia Pediatric Emergency Consultant, Assistant Professor, Emergency Medicine Department, Faculty of Medicine, King Abdulaziz University, Jeddah, Saudi ArabiaBackground: Shortness of breath is a very common presentation at the pediatric emergency department, but making a diagnosis based on it is very challenging for physicians because of the numerous differential diagnoses, including respiratory and cardiac causes. Case Presentation: Herein, we describe the case of a 2-month-old patient who presented to our emergency department in October 2017 with shortness of breath for 3 weeks duration. She was diagnosed as having lower respiratory tract infection; a cardiac murmur was incidentally found, which turned out to be a very rare congenital cardiac disease: left ventricular non-compaction cardiomyopathy (LVNC). She was treated with anti-failure medications but unfortunately died before cardiac transplant. Conclusion: As demonstrated by this case, non-compaction cardiomyopathy can be easily missed and misdiagnosed because of its rarity and diverse symptoms on presentation. Since corresponding treatment modalities are lacking, the prevention of associated complications is the primary goal of LVNC management. [SJEMed 2020; 1(1.000): 25-29]http://www.ejmanager.com/fulltextpdf.php?mno=73097pediatricpediatric emergencycardiologycardiomyopathy
spellingShingle Dalia Zaghabah
Roaa Jamjoom
A common pediatric presentation of an unusual disease: non-compaction cardiomyopathy
Saudi Journal of Emergency Medicine
pediatric
pediatric emergency
cardiology
cardiomyopathy
title A common pediatric presentation of an unusual disease: non-compaction cardiomyopathy
title_full A common pediatric presentation of an unusual disease: non-compaction cardiomyopathy
title_fullStr A common pediatric presentation of an unusual disease: non-compaction cardiomyopathy
title_full_unstemmed A common pediatric presentation of an unusual disease: non-compaction cardiomyopathy
title_short A common pediatric presentation of an unusual disease: non-compaction cardiomyopathy
title_sort common pediatric presentation of an unusual disease non compaction cardiomyopathy
topic pediatric
pediatric emergency
cardiology
cardiomyopathy
url http://www.ejmanager.com/fulltextpdf.php?mno=73097
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