A Maternal vitamin D deficiency: A Culprit for Hypocalcaemia Induced Myocardial Failure in a Four-Month Old Infant Case Report From Tikur Anbessa Specialized Hospital, Ethiopia

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Tamirat Moges
Yemisirach Shiferaw
Tigist Heye


BACKGROUND: A rare but reversible cause of dilatedcardiomyopathy occurs in infants born to vitamin D deficientmothers due to hypocalcaemia.CASE REPORT: We report a case of dilated cardiomyopathy dueto hypocalcaemia secondary to maternal vitamin D deficiency in aninfant presented with seizure disorder and heart failure. This was afour-month old female infant with respiratory distress and acuteheart failure. The cause of her cardiac failure was dilatedcardiomyopathy. Concomitant community acquired pneumoniawas diagnosed on chest X ray. Despite treatment, the infant'sclinical condition worsened. The mother was found to be house-bound, dark skinned and veiled while going outside of home.Laboratory studies revealed hypomagnesaemia and hypocalcaemia.The vitamin D levels of both the infant and the mother were foundto be low. The infant was treated for the deficiency state until hercardiac condition fully recovered.CONCLUSION: This case report demonstrated the directrelationship between maternal vitamin D deficiency and theinfant’s acute heart failure. It also highlighted the importance ofvitamin D supplementation during pregnancy in order to preventthe cardiac complication of maternal vitamin D deficiency in theinfants.

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Author Biographies

Tamirat Moges, Addis AbabaUniversity, Ethiopia

Department Pediatrics, School of
health Sciences

Yemisirach Shiferaw, Addis AbabaUniversity, Ethiopia

Department Pediatrics, College of
Health Sciences

Tigist Heye, AddisAbabaUniversity, Ethiopia

Department Pediatrics,

School ofhealth Sciences