Dilated cardiomyopathy in a 7-year-old girl.
Pediatric patients with dilated cardiomyopathy can initially be present for medical attention with non-specific and misleading signs and symptoms. We present the case of a 7-year-old girl with vague complaints of fever, vomiting, and abdominal pain and cardiac murmur on physical exam who progressed to congestive heart failure before her dilated cardiomyopathy was diagnosed. Clinicians should maintain a high index of suspicion for dilated cardiomyopathy in any patient with cardiac murmur and systematic symptoms.
Hoppa
Eric C
EC
Department of Pediatrics, University of Connecticut School of Medicine, Connecticut Children's Medical Center, Hartford, CT, USA. ehoppa@ccmckids.org
Brancato
John C
JC
D015746:Abdominal Pain / Q000209:etiology; D002311:Cardiomyopathy, Dilated / Q000150:complications / Q000175:diagnosis* / Q000000981:diagnostic imaging / Q000601:surgery; D002648:Child; D003131:Combined Modality Therapy; D018450:Disease Progression; D004232:Diuretics / Q000627:therapeutic use; D005221:Fatigue / Q000209:etiology; D005260:Female; D006333:Heart Failure / Q000188:drug therapy / Q000209:etiology / Q000601:surgery; D006337:Heart Murmurs; D016027:Heart Transplantation; D006801:Humans; D010288:Parenteral Nutrition; D011654:Pulmonary Edema / Q000000981:diagnostic imaging / Q000209:etiology; D011859:Radiography; D014839:Vomiting / Q000209:etiology
D004232:Diuretics