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Doctors Lounge - Pediatrics Answers
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| freddyb
- Mon Jun 21, 2010 4:53 pm |
|
my 12 year old son has been vomiting last night and he was with diarrhea, and a feaver of 39.0c. now scince the afteroon he has been having arrhythmias.
he has been drinking lots of coke.. because of this stomach
he has a heart disease, Double outlet right ventricle. he has Fontan sergury and the age of 3 and 5 and he had sergury when he was 3months old...
what do u think i should do...?
thanks,
i appriciate ur help
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| Dr.M.jagesh kamath
- Mon Aug 30, 2010 10:20 am |
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 Hello,Hope your son has recovered and fine.The most worrying problem in heart disease is sub acute bacterial endocarditis.But this is comparitively commoner in valve replacement surgeries, than other interventional surgeries on the heart.The risk in treated congenital heart conditions is very low.Fever,Anaemia,increased white cell count,and positive result after blood cultures(Mainly staphlococci) are the cardinal features of SABE(Gram-ve organisms-open heart).Suspected source of infection would be dental caries,tonsillitis,sinusitis etc.So unexplained fevers not controlled with standard antibiotic treatment as in the case of valve replacements or congenital heart disease and bypass surgery would have to be investigated for SABE.Long term complication for fontan operation,are arrhythmias and development of protein losing enteropathy.
Best wishes.
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