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PNEUMONIA COMPLICATED BY CONGESTIVE HEART FAILURE IN NIGERIAN CHILDREN.
- Source :
-
East African medical journal [East Afr Med J] 2012 Oct; Vol. 89 (10), pp. 322-6. - Publication Year :
- 2012
-
Abstract
- Objective: To evaluate heart failure in patients with pneumonia.<br />Setting: The paediatric wards of a tertiary hospital in Nigeria.<br />Subjects: One hundred and four patients were studied.<br />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.<br />Conclusion: The prevalence of CCF complicating pneumonia was high. Tender hepatomegaly, increased CTR and myocarditis were pointers to CCF complicating pneumonia.
- Subjects :
- AIDS-Related Opportunistic Infections complications
AIDS-Related Opportunistic Infections microbiology
Bronchopneumonia diagnosis
Bronchopneumonia epidemiology
Cardiomegaly diagnosis
Cardiomegaly epidemiology
Child, Preschool
Female
Heart Failure diagnosis
Heart Failure epidemiology
Hospitals, University
Humans
Infant
Male
Nigeria epidemiology
Pneumonia complications
Prevalence
Risk Factors
Acquired Immunodeficiency Syndrome complications
Bronchopneumonia complications
Cardiomegaly complications
Heart Failure etiology
Immunocompromised Host
Subjects
Details
- Language :
- English
- ISSN :
- 0012-835X
- Volume :
- 89
- Issue :
- 10
- Database :
- MEDLINE
- Journal :
- East African medical journal
- Publication Type :
- Academic Journal
- Accession number :
- 26852441