Delayed Diagnosis of Congenital Hypothyroidism in a 6-month-old Male Infant in Tamale, Ghana.

Delayed Diagnosis of Congenital Hypothyroidism in a 6-month-old Male Infant in Tamale, Ghana.

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Congenital hypothyroidism is a common inborn endocrine disorder.Asymptomatic presentation in majority of cases mean that its diagnosis may be missed especially in settings where newborn screening is absent.We present a case of delayed diagnosis of congenital hypothyroidism and emphasize on need for high level of suspicion to aid Tick Defense prompt diagnosis and treatment.Our case is a 3 year, 4 months old male, who was first seen at 5 months of age on account of poor growth.He passed meconium after day four of life, developed jaundice in first week of life, and slept a lot in neonatal period.

He had coarse faces, protruding tongue, widened anterior fontanelle and herniation of umbilicus.He was started on oral levothyroxine 50 microgram Strip Warmers / Heaters daily.In resources limited settings where universal newborn screening is absent, healthcare workers should have a high level of suspicion in picking up the early signs of the condition.