|
|||
| |||||||||||||||||||||||||||||||||||
An 18-month-old girl was admitted to the hospital because of diarrhea with intermittent constipation and vomiting.
The child had been born by cesarean section, performed because of a breech presentation, at 41 weeks' gestation; it was the mother's first pregnancy. The child's immunizations were up to date. She had had otitis media at 13 months of age. She was fed cow's milkprotein formula and grew normally, without diarrhea. At 15 months, her weight was 9.8 kg (30th percentile). Her only medication was a fluoride supplement.
Six weeks before admission, the child became irritable, and diarrhea developed, with foul-smelling, watery stools
Differential Diagnosis
Iatrogenic Malnutrition
Congenital Disorders
Infection with Giardia lamblia
Infection with Cryptosporidium
Infection with Escherichia coli
Celiac Disease
Clinical Diagnosis
Dr. Christopher P. Duggan's Diagnosis
Pathological Discussion
Anatomical Diagnosis
References
HOME | SUBSCRIBE | SEARCH | CURRENT ISSUE | PAST ISSUES | COLLECTIONS | PRIVACY | HELP | beta.nejm.org Comments and questions? Please contact us. The New England Journal of Medicine is owned, published, and copyrighted © 2008 Massachusetts Medical Society. All rights reserved. |