Gangrene of the Left Forearm Following Septicaemia in a Nigerian Child With Tetralogy of Fallot: A Case Report

Abstract

Tetralogy of Fallot (TOF) carries a higher risk for infective endocarditis (IE) due to associate
multiple cardiac lesions. The incidence of IE in operated TOF patients either by corrective or
palliative surgery is high (around 18%), however small (around 4%) in non-corrected TOF.
Most reported cases of infective endocarditis complicating TOF have been in adults, reports
of central embolization complicating infective endocarditis is also rare in African literatures,
especially in children with TOF. We therefore report a case of gangrene of the left forearm
from central embolization in a 14-month child with TOF who had septicaemia with infective
endocarditis and acute renal failure.