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EPN 2018

Fareena Ahamed

Fareena Ahamed, Speaker at Pediatrics Conferences
M.P.Shah Hospital,, Kenya
Title : Thromboembolism in a 7 year old boy: A case report


Background: Deep venous thrombosis (DVT) is an uncommon diagnosis in paediatrics, more so in sub -Saharan Africa. We highlight the importance of early recognition of DVT as a clinical diagnosis and managing potential complications such as pulmonary embolism in this case report. Case Presentation: A previously well 7-year-old boy developed right lower limb swelling and a sudden onset cough, associated with hemoptysis and difficulty in breathing. Investigations done revealed the patient had extensive DVT of the right lower limb. Patient was initiated on unfractionated heparin and tissue plasminogen activator in the pediatric ICU, after which clexane and warfarin was commenced a few days prior to discharge. Conclusion: As paediatricians, a high index of suspicion and optimal knowledge on the clinical presentation, complication and management becomes of utmost importance towards a better outcome in a otherwise fatal diagnosis; especially in resource limited set-ups where co-morbidities tend to mask the very glaring signs and symptoms.


Fareena Ahamed did her undergraduate and master’s degree in Paediatrics and Child Health in University of Nairobi Kenya. She works as a consultant general paediatrician for the past two years in a private hospital in Nairobi, Kenya. She hopes to specialise in paediatric cardiology and to join the faculty at the University of Nairobi in the near future. She is a member of the Kenya Paediatric Association and the Kenya Breastfeeding Society. She is an instructor on the European Paediatric Advanced Life support (EPALS) course, the Paediatric Epilepsy Training Course and the Paediatric Disaster Management Course.