In most cases, protracted diarrhea in infants is due to lack of human breast milk, and iatrogenic malnutrition. Damage to the mucosa of the small intestine maintained by cow's milk proteins and malnutrition constitute main parts of a vicious circle interrupted by completely parenteral nutrition for some time, and slow reintroduction of human breast milk. This kind of therapy reduced mortality significantly. The best prophylaxis is the full support of breast feeding. As differential diagnosis the familial lethal diarrhea of the breast fed infant has to be considered. Furthermore, in case of diarrhea lasting for longer than two weeks, other less frequent causes have to be thought of, as pointed out briefly.
Download full-text PDF |
Source |
|---|
Publication Analysis
Top Keywords
Similar Publications
Congenital diarrhea and enteropathies (CoDEs) condition is a rare cause of chronic diarrhea in infants that can be challenging to diagnose. This article discusses key signs to recognize in considering a CoDEs diagnosis and provides an overview of the diagnostic process. We report a late preterm twin infant with intractable watery diarrhea starting shortly after birth.
View Article and Find Full Text PDFPolyethylene Glycol Misuse Causing Acute Renal Failure and Metabolic Acidosis Requiring Dialysis: A Case Report.
Cureus
July 2024
Division of Medical Toxicology, Department of Emergency and Hospital Medicine, Lehigh Valley Health Network/University of South Florida Morsani College of Medicine, Allentown, USA.
Laxative misuse is a well-known occurrence, most often identified in patients struggling with eating disorders. Polyethylene glycol (PEG) 3350 is a readily available, well-tolerated osmotic laxative. High doses of PEG 3350 may cause gastrointestinal upset, diarrhea, dehydration, and electrolyte imbalance, although systemic toxicity is infrequently reported.
View Article and Find Full Text PDFCholera continues to cause many outbreaks in low and middle-income countries due to inadequate water, sanitation, and hygiene services. We describe a protracted cholera outbreak in Nairobi City County, Kenya in 2017. We reviewed the cholera outbreak line lists from Nairobi City County in 2017 to determine its extent and factors associated with death.
View Article and Find Full Text PDF[Analysis of genetic etiology of 234 deaths in the pediatric intensive care unit with suspected genetic diseases].
Zhonghua Er Ke Za Zhi
August 2024
Department of Critical Care Medicine, Children's Hospital of Fudan University, National Children's Medical Center, Shanghai 201102, China.
Article Synopsis
- The study investigated the genetic causes of mortality in pediatric intensive care unit (PICU) patients, focusing on 234 children who died within a week of admission between January 2017 and December 2021.
- Patients were divided into two groups based on genetic testing results: pathogenic gene variation positive (PGVP) and negative (PGVN), with notable differences in clinical characteristics and outcomes between them.
- Findings revealed that PGVP cases had a significantly younger age at death, higher incidence of family history of disease, severe infections, and other health complications compared to PGVN cases.
Food protein-induced enterocolitis syndrome (FPIES): Beyond the guidelines.
J Food Allergy
December 2023
Department of Pediatrics, NYU Grossman School of Medicine, New York, New York, and.
Article Synopsis
- FPIES is a type of food allergy affecting about 0.51-0.9% of children and 0.22% of adults in the U.S., causing severe symptoms like projectile vomiting and diarrhea within hours of eating trigger foods.
- The most common triggers include cow's milk, oat, rice, avocado, and in some cases, fruits like banana and apple; it can present in various forms, such as acute or chronic, with a generally favorable outcome for infants.
- Diagnosis is challenging due to a lack of specific biomarkers, and management involves avoiding trigger foods, monitoring tolerance, and treating acute episodes with hydration and antiemetics.
Want AI Summaries of new PubMed Abstracts delivered to your In-box?
Enter search terms and have AI summaries delivered each week - change queries or unsubscribe any time!