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CASE REPORT
Year : 2020  |  Volume : 9  |  Issue : 3  |  Page : 115-117

A case of infantile diarrhoea


Department of Paediatrics, MGM Medical College, Navi Mumbai, Maharashtra, India

Correspondence Address:
Dr. Ankita Choudhary
Department of Pediatrics, Medical College, Navi Mumbai - 410 206, Maharashtra
India
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Source of Support: None, Conflict of Interest: None


DOI: 10.4103/jpai.jpai_7_21

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Introduction: Diarrhoea is the second most common cause of deaths among children less than 5 years of age (15%) and half of the cases occur from 6 to 12 months of age. Deaths among hospitalised children, are mostly among the malnurished, demanding urgent diagnostic, therapeutic and nutritional intervention. Aim: To sensitise practicing pediatricians about such double dangers as high index of suspicion helps in early diagnosis and prompt intervention. Case: Eight month old baby presented with acute gastroenteritis (AGE) for 2 days. Exclusively breast-ded upto 6 monts of age. The child was treated with WHO recommended standard of care for AD such as oral rehydration solution (ORS), Zinc and usual complimentary feeds, including formula milk which the baby was on for last 2 months. Did show some initial improvemnt but worsened by week end; with large explossive stools, abdominal distension and perianal excoriation. Managed as secondary lactose intolerance post-viral AGE. Cow's milk protein allergy (CMPA) was thought unlikely in absence of any history of diarrhoea despite top feeds. Continued Zinc and complimentary feeding, but replaced formula milk with soy based feed. Th baby improved over next 4 days, started gaining weight and was discharged. Conclusion: Formula-fed infants with secondary lactose intolerance, when changed to lactose-free diet, may have early resolution of diarrhea and less scope of treatment failure. Being cheaper, Soy is considered a better alternative for short-term use in selected cases in developing countries as ours.


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