title: PNEUMONIA COMPLICATED BY CONGESTIVE HEART FAILURE IN NIGERIAN CHILDREN.
abstract: OBJECTIVE
  To evaluate heart failure in patients with pneumonia.
  
  
  METHODS
  The paediatric wards of a tertiary hospital in Nigeria.
  
  
  METHODS
  One hundred and four patients were studied.
  
  
  RESULTS
  The mean age was 10.3 ± 11.0 months and 53(51.0%) were males. Of the 104, 41(39.4%) also had Congestive Cardiac Failure (CCF). All 41(100%) patients with CCF compared to 38 of 63 (60.3%) with pneumonia only had cardiomegaly (p = 0.0001). Ten of 61(16.4%) patients with chest X ray had a cardiothoracic ratio (CTR) > 60%. Ten children had dilated ventricular chambers, eight (80.0%) had dilated inferior vena cavae and seven (70%) had myocarditis.
  
  
  CONCLUSIONS
  The prevalence of CCF complicating pneumonia was high. Tender hepatomegaly, increased CTR and myocarditis were pointers to CCF complicating pneumonia.
authors: Department of Child Health, University of Benin/University of Benin Teaching Hospital, PMB 1111, Benin City, Nigeria.
authors: W E
authors: WE
authors: Sadoh
authors: W O
authors: WO
authors: Osarogiagbon
mesh_terms: D017088:AIDS-Related Opportunistic Infections / Q000150:complications / Q000382:microbiology; D000163:Acquired Immunodeficiency Syndrome / Q000150:complications*; D001996:Bronchopneumonia / Q000150:complications* / Q000175:diagnosis / Q000453:epidemiology; D006332:Cardiomegaly / Q000150:complications* / Q000175:diagnosis / Q000453:epidemiology; D002675:Child, Preschool; D005260:Female; D006333:Heart Failure / Q000175:diagnosis / Q000453:epidemiology / Q000209:etiology*; D006785:Hospitals, University; D006801:Humans; D016867:Immunocompromised Host; D007223:Infant; D008297:Male; D009549:Nigeria / Q000453:epidemiology; D011014:Pneumonia / Q000150:complications; D015995:Prevalence; D012307:Risk Factors