55-day old baby admitted with an excessive cry and low-grade fever for 2 days. First born baby to 29-year-old father and 22-year-old mother conceived within four months of marriage. Antenatal period uneventful. No history of fever, rash, drug intake. No pregnancy related or other medical disorders in second and last trimesters. She had usual antenatal care with injection tetanus toxoid, iron and folic acid tablets. Weight gains normally.
Antenatal ultra-sonogram was normal. Delivery normal at full term with 2.8 kg birth weight. She cried immediately after birth, started feeds normally. During routine check up doctor detected heart murmur and was investigated by a cardiologist and later referred to Sree Chithra Thirunal Institute. After work up, the baby was on put on drugs in syrup form to be taken daily. Mother did not notice any problem in the first four weeks. Feeding was normal, no…
