Distended neck veins. Rapid heartbeat, even when at rest. Breathing difficulty, even when the child is sleeping or at rest. Bacterial infections, such as tetanus, gonorrhea, typhoid fever, tuberculosis, or diphtheria. Surgery on the heart.
Parasite infections are common in underdeveloped countries.
Keep your child's immunizations current against diphtheria, tetanus, measles, German measles, and polio. See Appendix 1 . Medical history and physical exam by a doctor. Laboratory blood studies. Other studies appropriate for the underlying disorder.