Complete Congenital Atrioventricular Block in a Nigerian Neonate of a Previously Undiagnosed and Asymptomatic Mother with Systemic Lupus Erythematosus: A Case Report

Congenital atrioventricular block is a rare disorder with an incidence of 1 in 22,000 cases. Its diagnosis is devastating to parents anywhere in the world, and even more so in a resource limited country like in Nigeria. We report the case of Baby E. who was first suspected to be having a complex congenital heart disease in utero at 26 weeks of gestation. He was delivered to an apparently healthy 25-year primigravida who was later found to have serological features of systemic lupus erythematosus (SLE). We also highlight the challenges and proffer recommendations for management of congenital atrioventricular block in Nigeria.