Patient's question:
Patient: Female, 4.5 months old, weighing 11 pounds. Born weighing 5 pounds 4 ounces. At 3 months, respiratory distress was observed, accompanied by redness, developmental delays, and vomiting during feeding. Hospital examination revealed no abnormalities. At 4 months, symptoms worsened, and another hospital visit was made. The doctor suspected heart problems and recommended further evaluation at a larger hospital. The examination results were: 1. Endocardial fibroelastosis 2. Patent ductus arteriosus.The doctor prescribed digoxin, which improved the vomiting. Before the enema, the patient had normal bowel movements. During the ultrasound examination, two enemas were administered, and since then, the patient has been experiencing diarrhea and severe dehydration.
Doctor's answer:
Children's endocardial fibroelastosis, also known as children's endocardial. The main pathological changes are the proliferation of subendocardial elastic fibers and collagen fibers, with the lesion primarily affecting the left ventricle. Most cases occur within the first year of life. The cause has not been fully clarified, and some cases may develop from viral myocarditis. Insufficient blood supply to the endocardium and hypoxia are also likely to be contributing factors.