Nov 20, 2008, 4:12 AM
Sowe, a 10-year-old boy of Farato village, is in need of support to undergo
overseas treatment after being diagnosed with rheumatic heart disease at the
Edward Francis Small Teaching Hospital.
He was first seen at the out-patient department with a constellation of symptom and signs suggestive of acute rheumatic fever for which he was admitted for six days and managed accordingly.
The medical report further stated that on subsequent review two months later following discharge, he was however found to be manifesting symptoms of easy fatigability, orthopnoea and dysgnm on excertion with a hyperactive precordium and pansystolic.
The echocardiography done did reveal moderate mitral and aortic regurgitation, with moderate dilatation of left heart chamber.
Hence, the diagnosis of rheumatic heart disease was made. He is currently complaining of cough and, on direct questioning, there is an associated orthopnea, easy fatigability and excertional dyspnea.
On general examination, he is not acutely ill-looking, but is slightly pale anicteric.
He was then recommended to undergo overseas treatment.
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