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Previous Volume 360:398-407 January 22, 2009 Number 4 Next

	Since this article has no abstract, we have provided an extract of the first 100 words of the full text and any section headings.

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Presentation of Case

Dr. Bronwen C. Carroll (Pediatrics): A 9-month-old boy was admitted to this hospital because of a generalized seizure and a bulging fontanelle.

The patient was reportedly well until 3 days before admission, when nasal congestion developed, and he was thought to have a low-grade fever. On the day of admission, two episodes of watery diarrhea occurred. His mother noted that his skin felt warm and the fontanelle was bulging. He was sleeping when jerking movements of the arms and legs began, lasting approximately 2 minutes, that were associated with fecal incontinence but no vomiting. After the seizure, he was limp, . . . [Full Text of this Article]

Differential Diagnosis

Seizures

Hypocalcemia

Bulging Fontanelle and Cranial Bossing

Nutritional Deficiencies

Rickets

Rickets and Hypocalcemia

Summary

Clinical Diagnoses

Dr. Michael F. Holick's Diagnoses

Pathological Discussion

Discussion of Management

Final Diagnoses

Source Information

From the Departments of Medicine, Endocrinology, and Diabetes, Boston University Medical Center (M.F.H.); and the Departments of Radiology (R.L.) and Pathology (A.S.D.), Massachusetts General Hospital and Harvard Medical School — all in Boston.

Related Letters:

Case 3-2009: A 9-Month-Old Boy with Seizures
Kashyap A. S., Anand K. P., Kashyap S., Kent P., Smeraglinolo B., Le D., Holick M. F., Sherry N. A., Dighe A. S.
Extract | Full Text | PDF  
N Engl J Med 2009; 360:1572-1574, Apr 9, 2009. Correspondence

This article has been cited by other articles:

• Kashyap, A. S., Anand, K. P., Kashyap, S., Kent, P., Smeraglinolo, B., Le, D., Holick, M. F., Sherry, N. A., Dighe, A. S. (2009). Case 3-2009: A 9-Month-Old Boy with Seizures. NEJM 360: 1572-1574 [Full Text]