Life-threatening Dilated Cardiomyopathy Induced by Late-onset Neonatal Hypocalcemia
Neonatal seizures caused by hypocalcemia may be associated with cardiopulmonary dysfunction and may require specific management other than calcium supplementation. Severe dilated cardiomyopathy is an extremely rare complication in neonatal hypocalcemia and often results in high morbidity and mortali...
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| Format: | Article |
| Language: | English |
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Elsevier
2016-12-01
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| Series: | Pediatrics and Neonatology |
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| Online Access: | http://www.sciencedirect.com/science/article/pii/S1875957214001570 |
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| author | Po-Ching Chou Lung-Chang Lin Jong-Hau Hsu Rei-Cheng Yang Yuh-Jyh Jong Zen-Kong Dai Jiunn-Ren Wu |
| author_facet | Po-Ching Chou Lung-Chang Lin Jong-Hau Hsu Rei-Cheng Yang Yuh-Jyh Jong Zen-Kong Dai Jiunn-Ren Wu |
| author_sort | Po-Ching Chou |
| collection | DOAJ |
| description | Neonatal seizures caused by hypocalcemia may be associated with cardiopulmonary dysfunction and may require specific management other than calcium supplementation. Severe dilated cardiomyopathy is an extremely rare complication in neonatal hypocalcemia and often results in high morbidity and mortality. We report here a 14-day-old neonate presenting with a gradually increasing frequency of tonic seizures. After admission, arterial desaturation was found despite supplying oxygen (4 L/min) through nasal prongs and the patient developed life-threatening respiratory distress and heart failure secondary to dilated cardiomyopathy. His critical cardiopulmonary derangements rapidly improved after respiratory support, the administration of diuretic and inotropic drugs, and the correction of his hypocalcemia and hypomagnesemia. The patient responded to treatment and was well during the 1-year follow-up period. We present this unique case history of seizure, respiratory distress, and heart failure induced by transient hypocalcemia to remind clinicians about the importance of this rare, life-threatening, but reversible, disorder. |
| format | Article |
| id | doaj-art-a3988d46dcda48fc8a0ef669b9522c7d |
| institution | OA Journals |
| issn | 1875-9572 |
| language | English |
| publishDate | 2016-12-01 |
| publisher | Elsevier |
| record_format | Article |
| series | Pediatrics and Neonatology |
| spelling | doaj-art-a3988d46dcda48fc8a0ef669b9522c7d2025-08-20T02:20:19ZengElsevierPediatrics and Neonatology1875-95722016-12-0157653553810.1016/j.pedneo.2014.05.007Life-threatening Dilated Cardiomyopathy Induced by Late-onset Neonatal HypocalcemiaPo-Ching Chou0Lung-Chang Lin1Jong-Hau Hsu2Rei-Cheng Yang3Yuh-Jyh Jong4Zen-Kong Dai5Jiunn-Ren Wu6Department of Pediatrics, Kaohsiung Medical University Hospital, Kaohsiung, TaiwanDepartment of Pediatrics, Kaohsiung Medical University Hospital, Kaohsiung, TaiwanDepartment of Pediatrics, Kaohsiung Medical University Hospital, Kaohsiung, TaiwanDepartment of Pediatrics, Kaohsiung Medical University Hospital, Kaohsiung, TaiwanDepartment of Pediatrics, Kaohsiung Medical University Hospital, Kaohsiung, TaiwanDepartment of Pediatrics, Kaohsiung Medical University Hospital, Kaohsiung, TaiwanDepartment of Pediatrics, Kaohsiung Medical University Hospital, Kaohsiung, TaiwanNeonatal seizures caused by hypocalcemia may be associated with cardiopulmonary dysfunction and may require specific management other than calcium supplementation. Severe dilated cardiomyopathy is an extremely rare complication in neonatal hypocalcemia and often results in high morbidity and mortality. We report here a 14-day-old neonate presenting with a gradually increasing frequency of tonic seizures. After admission, arterial desaturation was found despite supplying oxygen (4 L/min) through nasal prongs and the patient developed life-threatening respiratory distress and heart failure secondary to dilated cardiomyopathy. His critical cardiopulmonary derangements rapidly improved after respiratory support, the administration of diuretic and inotropic drugs, and the correction of his hypocalcemia and hypomagnesemia. The patient responded to treatment and was well during the 1-year follow-up period. We present this unique case history of seizure, respiratory distress, and heart failure induced by transient hypocalcemia to remind clinicians about the importance of this rare, life-threatening, but reversible, disorder.http://www.sciencedirect.com/science/article/pii/S1875957214001570cardiopulmonary failurecritical caredilated cardiomyopathyneonatal hypocalcemiaseizures |
| spellingShingle | Po-Ching Chou Lung-Chang Lin Jong-Hau Hsu Rei-Cheng Yang Yuh-Jyh Jong Zen-Kong Dai Jiunn-Ren Wu Life-threatening Dilated Cardiomyopathy Induced by Late-onset Neonatal Hypocalcemia Pediatrics and Neonatology cardiopulmonary failure critical care dilated cardiomyopathy neonatal hypocalcemia seizures |
| title | Life-threatening Dilated Cardiomyopathy Induced by Late-onset Neonatal Hypocalcemia |
| title_full | Life-threatening Dilated Cardiomyopathy Induced by Late-onset Neonatal Hypocalcemia |
| title_fullStr | Life-threatening Dilated Cardiomyopathy Induced by Late-onset Neonatal Hypocalcemia |
| title_full_unstemmed | Life-threatening Dilated Cardiomyopathy Induced by Late-onset Neonatal Hypocalcemia |
| title_short | Life-threatening Dilated Cardiomyopathy Induced by Late-onset Neonatal Hypocalcemia |
| title_sort | life threatening dilated cardiomyopathy induced by late onset neonatal hypocalcemia |
| topic | cardiopulmonary failure critical care dilated cardiomyopathy neonatal hypocalcemia seizures |
| url | http://www.sciencedirect.com/science/article/pii/S1875957214001570 |
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