title: An infant with tachypnea.
abstract: The purpose of this case report is to illustrate the diagnostic difficulties of congestive heart failure in an infant. When presenting to the emergency department, these patients are often evaluated for sepsis, congenital heart disease, metabolic disorders, and myocarditis. We report a case of a 3(1/2)-month-old male who presented to the pediatric emergency department with congestive heart failure. He was found to have vitamin D deficiency rickets induced cardiomyopathy.
authors.affiliation: Division of Emergency Medical Services, Children's Mercy Hospitals and Clinics, 2401 Gillham Road, Kansas City, MO 64108, USA. kjcramm@cmh.edu
authors.forename: Kelly J
authors.initials: KJ
authors.lastname: Cramm
authors.forename: Raymond A
authors.initials: RA
authors.lastname: Cattaneo
authors.forename: Robert D
authors.initials: RD
authors.lastname: Schremmer
mesh_terms: D001942:Breast Feeding / Q000009:adverse effects*; D002118:Calcium / Q000627:therapeutic use; D006332:Cardiomegaly / Q000209:etiology; D003937:Diagnosis, Differential; D004562:Electrocardiography; D004630:Emergencies; D006333:Heart Failure / Q000175:diagnosis / Q000000981:diagnostic imaging / Q000209:etiology*; D006347:Heart Sounds; D006801:Humans; D007223:Infant; D007224:Infant Care; D008297:Male; D008944:Mitral Valve Insufficiency / Q000209:etiology; D009846:Oliguria / Q000209:etiology; D012120:Respiration Disorders / Q000188:drug therapy / Q000209:etiology*; D012279:Rickets / Q000150:complications / Q000175:diagnosis* / Q000188:drug therapy; D014463:Ultrasonography; D018487:Ventricular Dysfunction, Left / Q000209:etiology; D014807:Vitamin D / Q000627:therapeutic use
chemical_list: D014807:Vitamin D; D002118:Calcium