Pediatric Cardiac Beriberi: 3 Different Presentations

Chaisit Sangtawesin MD*, Somsak Leartveravat MD**

Affiliation : * Queen Sirikit National Institute of Child Health, Department of Medical Services; MOPH, College of Medicine, Rangsit University, Bangkok ** Fellowship in Pediatric Cardiology, Queen Sirikit National Institute of Child Health, Department of Medical Services; MOPH, Bangkok

The authors report 3 cases of pediatric cardiac beriberi at Queen Sirikit National Institute of Child Health during the last 10-year-period. The first two cases presented classically while the third case came with an unusual presentation. Cardiac beriberi is an old disease in modern Bangkok which can present in as several different clinical patterns. The diagnosis needs a high index of suspicion. Echocardiographic findings of right heart dysfunction and dramatic response to intravenous thiamine are diagnostic.

Keywords : Cardiac beriberi, Failure, Shock, Cyanosis, Thiamine, Bangkok, Thailand

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