Teddy BEH Baby & Child Specialist Clinic

21/12/2025

Acute Myocarditis...

Myocarditis is inflammation of the myocardium (heart muscle). It has many potential causes; however, myocarditis usually occurs when a virus, bacteria or fungus infects a child’s heart. When the heart has an infection, the body’s defense systems send more white blood cells to the infected area to fight the cause. This can cause the heart to be inflamed. As a result, scar tissue may form and interfere with the heart’s ability to function. This can increase the risk of poor heart muscle function or an abnormal heart rhythm, but it doesn’t always result in permanent damage.

The most common causes of infections leading to myocarditis are:
• viruses
• bacteria
• Fungi
• Parasite
• Medication eg chemotherapy drug

•••• Symptoms ••••
Newborns and infants can include:

Fever,Listlessness
Difficulty eating and breathing
Irritability and fussiness
Cool hands and feet
Pale skin
Fatigue and sleeping more
Less urine output

Older child more than 2 years old.
• May have similar symptoms or others
• ** Acute heart failure symptoms
• ** Suddenly collapsed after a febrile illness that typically presented to hospital emergency.

Treatment.
• support the child breathing
• mainstay IVIG and Steroids.
• cardiac support.
Used antibiotics and antivirals depend on the causes of the organism identity.

Great that the girl has been discharged with no chronic sequelae. • 6 months old, vague symptoms of vomiting for 4 days 2-3 episodes per day with no preceding history of unwell.
• She had respiratory signs like recession and looks pale.
• other features - wide pulse pressure, not proportionate tachycardia.
Chest X ray : cardiomegaly
NP Swab rapid test: positive mycoplasma and faint RSV positive.
Then blood results: raised cardiac markers.

No need to be HERO. I just hope the community understands that not all the time is the best time to capture especially at an outpatient clinic.

You can argue expensive specialist charges. But we are providing a specialist care not a GP care as compared to your own understanding ( In which non medical personnel trying to understand the cost of healthcare).
We use original medicine rather than generic most of the time.



child specialist clinic.

21/12/2025

冬至是团圆与温暖的时节，象征关怀、陪伴与希望。
愿这个冬至为您带来温暖、安宁与身心的慰藉。
Winter Solstice is a time to gather, share warmth, and be together with those who matter most. May this Winter Solstice bring warmth, comfort, and togetherness.

#冬至

20/11/2025

KENYATAAN BERSAMA
Kementerian Kesihatan Malaysia, Kementerian Komunikasi Dan Telekom Malaysia Berhad

Operasi NG MERS 999

I am happy to see more effort from the government to improve the service of care. Healthcare is not about private or government. It is all about both services from both parties.

Citizens also have to be grateful for the ministry of health provided service because the Malaysian government provides the best healthcare for all after all.

20/11/2025

Today at the clinic, a mom asked about her insurance policy for her daughter whether to cover an outpatient.

I managed to read through the 3 insurance policy. But it is always good to check with your agents or read the insurance policy that you purchased for your kids before this.

Always purchase the insurance early and slowly increase according to the affordability.

May all kids stay healthy and being protected.

19/11/2025

19/11/2025

Panda 🐼

19/11/2025

We always hear from parents, doctor can I not use antibiotics for my children.

My answer is always: I agree with you parents. But sometimes, you need to know what germs can cause the little one to be unwell.

Chlamydia pneumoniae most commonly cause upper respiratory tract infections, which can include:
• Ear infections
• Sinus infections
• Sore throats

C. pneumoniae can also cause lower respiratory tract infections, like bronchitis and pneumonia. Compared to other types of bacterial pneumonia, people with pneumonia caused by C. pneumoniae are more likely to have laryngitis.

• Bronchitis is inflammation (swelling) of the airways to the lungs.
• Laryngitis is when the voice box becomes inflamed or swollen.
• Pneumonia is a lung infection.
----- Symptoms-----
It can take 3 to 4 weeks for symptoms to appear after someone has been exposed to the bacteria. Some people may become infected and have no symptoms.

For those with symptoms, the most common symptoms of C. pneumoniae infection include:
• Fatigue (feeling tired)
• Headache
• Hoarseness, weak voice, or loss of voice
• Low-grade fever
• Runny or stuffy nose
• Sore throat
• Slowly worsening cough
Symptoms can continue for several weeks after they start.

---- Complications ---
While uncommon, serious complications can occur:
•• Encephalitis (swelling in the brain)
•• Myocarditis (swelling of the heart)
•• worsening asthma
C. pneumoniae can cause chronic (long) infections. Some experts think that chronic C. pneumoniae infection might contribute to conditions like:
• Arthritis
• Asthma
• Atherosclerosis (plaque buildup in blood vessels)

--- How it spreads ---
C. pneumoniae infections are caused by bacteria that people spread through coughing or sneezing.

Treatment
•macrolides, fluoroquinolones, or tetracyclines appears equally effective.

This is a 3 months old kid with fever, cough, running nose with rapid breathing.

19/11/2025

Many Women Experience This. Here’s What You Should Know.

📖 Read the full article here:
🔗 https://www.hospitalseribotani.com.my/urinary-incontinence-in-women-causes-and-treatments/

In this informative article by Dr. James Ng Jun Jiet, our Consultant Obstetrician & Gynaecologist, Uro-gynaecologist at Hospital Seri Botani, discover what causes this condition and the effective treatments that can help you regain control.

19/11/2025

In conjunction to 17th November 2025. World premature Day.

Congratulations to all my 3 little premie that are now growing well. During my private service so far.

1. Boy, 36 weeks. VSD, Symmetrical SGA weighs 1.6 kg. Hypertrophy pylorus - operated.

2. Girl, 35 weeks. 1.6 kg large VSD on anti failure and symmetrical SGA. With 2 time pneumonia needed HFNC. Now growing well on heart medicine awaiting the operation time.

3. Girl, 34 weeks. 1.5 kg. Symmetrical SGA. She had an eventful antenatal period.

All of them have different challenges. But grateful parents put the best effort with confidence to let us deliver the care . We provide affordable care.

You guys are the 3 eventful premie I have had so far since I joined Hospital Seri Botani . The eventful memories we all create and share are memorable.

Cannot fight with those days in government practice or those big private hospitals but this is so far we as a small private hospital contribution to the community here..

Let us guess the baby in the photo belongs to among the 3 babies?

Parents are trying hard because 3 of them also the parents have difficulty in conceiving.

More vaccine not always harm. We choose to protect them regardless the price rather than treating the worse outcome.




vaccine

18/11/2025

It’s World Awareness Week.

Did you know misusing antibiotics leads to drug resistance and side effects?

Learn about (AMR) 👉bit.ly/AMRweek2025

18/11/2025

18/11/2025

Nutrition for mom-to-be made simple:
Eat a colourful plate, choose whole foods, and prioritise nutrient-dense options ❤️🤰

Leafy greens for folate, dairy for calcium, lean meats & cereals for iron, salmon for DHA, yoghurt for probiotics, all essential for a healthy mama and baby.

This post is supported by Anmum™️ Materna.