UNOPERATED TETRALOGY OF FALLOT: A CLINICOPATHOLOGIC STUDY OF A 12 MONTHS CHILD AT GOVERNMENT GENERAL HOSPITAL, KADAPA

  • SHAIK KAREEMULLA Department of Pharmacy Practice, P. Rami Reddy Memorial College of Pharmacy, Kadapa, Andhra Pradesh, India.
  • HARINI N Department of Pharmacy Practice, P. Rami Reddy Memorial College of Pharmacy, Kadapa, Andhra Pradesh, India.
  • PRASANNA REDDY V Department of Pharmacy Practice, P. Rami Reddy Memorial College of Pharmacy, Kadapa, Andhra Pradesh, India.
  • SAI PRASANNA K Department of Pharmacy Practice, P. Rami Reddy Memorial College of Pharmacy, Kadapa, Andhra Pradesh, India.

Abstract

Tetralogy of fallot is a congenital cardiac malformation that consists of an interventricular miscommunication. This combination of lesions occurs in three of every 10,000 live births and accounts for 7–10% of all congenital cardiac malformations. It is a condition caused by a combination of defects in all the four heart chambers that are present at birth. These defects affect the structure of heart, cause oxygen poor blood to flow out of the heart and to the rest of the body. Infants and children with TOF usually have blue tinged skin. The prevalence rate of TOF is 3.5% affecting males and females equally. Pneumonia is an infection of lungs that inflames air sacs in one or both lungs. The air sacs may fill with fluid or pus causing cough with phlegm, fever, and chills. It is most common in infants and young children and people with weakened immune system. A 12 months’ female child with this congenital heart defect and pneumonia was discussed in this report. However, most of the children with TOF need surgery, but timings may vary depending on the condition and severity. This is important to note that surgery for TOF is palliative but not curative. This report concludes that there is a need to increase awareness of TOF so as to encourage early diagnosis and therefore promotes better outcomes.

Keywords: Tetralogy of fallot, Emergency care, Pulmonary cyanosis, Heart murmurs

References

1. Diaz-Frias J, Guillaume M. Tetralogy of Fallot. Treasure Island, FL: Stat Pearls; 2019.
2. Silberbach M, Hannon D. Presentation of congenital heart disease in the neonate and young infant. Pediatr Rev 2007;28:123-31.
3. Motiram R, Shankarrao V. Prevalence, profile, and pattern of congenital heart disease in central India: A prospective, observational study. Niger J Cardiol 2018;15:45-9.
4. Hu BY, Shi K, Deng YP, Diao KY, Xu HY, Li R. Assessment of tetralogy of Fallot-associated congenital extracardiac vascular anomalies in pediatric patients using low-dose dual-source computed tomography. BMC Cardiovasc Disord 2017;17:285.
5. Animasahun BA, Madise-Wobo AD, Falase BA, Omokhodion SI. The burden of fallot’s tetralogy among Nigerian children. Cardiovasc Diagn Ther 2016;6:453-8.
6. Gillani SW, Baig MR, Sari Y, Nuraihan S, Razali B, Siddiqui AA. Case report clinical evaluation of treatment for congenital heart defects (ASD and VSD) with bronchopneumonia. Int J Pharm Life Sci 2014;5:28-53.
7. Jahan Y, Rahman A. A case report on management of severe childhood pneumonia in low resource settings. Respir Med Case Rep 2018;25:192-5.
8. Lakhanpaul M, Atkinson M, Stephenson T. Community acquired pneumonia in children: A clinical update. Arch Dis Child Educ Pract Ed 2004;89:29-34.
9. Ebeledike C, Ahmad T. Paediatric Pneumonia. Treasure Island, FL: Stat Pearls; 2019.
10. Rodrigues CM, Groves H. Community-acquired pneumonia in children: The challenges of microbiological diagnosis. J Clin Microbiol 2018;56:e01318-17.
11. Principi N, Esposito S. Management of severe community-acquired pneumonia of children in developing and developed countries. Thorax 2011;6:815-22.
12. Roux DM, Zar HJ. Community-acquired pneumonia in children-a changing spectrum of disease. Pediatr Radiol 2017;47:1392-8.
13. Aluri K. Tetralogy of fallot without corrective surgery in a 33 year-old ICU patient. Pediatrics 2017;140:35-9.
14. Cheng JW. Current perspectives on the role of the pharmacist in heart failure management. Integr Pharm Res Pract 2017;7:1-11.
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KAREEMULLA, S., N, H., REDDY V, P., & PRASANNA K, S. (2020). UNOPERATED TETRALOGY OF FALLOT: A CLINICOPATHOLOGIC STUDY OF A 12 MONTHS CHILD AT GOVERNMENT GENERAL HOSPITAL, KADAPA. Innovare Journal of Health Sciences, 8(5). Retrieved from https://innovareacademics.in/journals/index.php/ijhs/article/view/36699
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Case Study(s)