SAT-061 Severe Hypocalcemia in an Infant with Abnormal Microarray and Dysmorphic Features

Primary hypomagnesemia with secondary hypocalcemia in an infant.

A 2-month old girl was transferred from General Hos­ pital Kurunegala to the Lady Ridgeway Hospital (LRH) in September 1998 with a history of uncontrolled generalised fits from the age of 6 weeks. Before 6 weeks the baby-had been apparently normal. She is a product of a first cousin marriage. The other two children are in good health. The birth and neonatal histories were normal. The birth weig...

Cystic Fibrosis Presenting with Severe Dehydration in an Otherwise Normal Infant

A 4-month-old male infant was referred to our center with clinical signs and symptoms of severe dehydration without fever, diarrhea, vomiting, or respiratory symptoms. The patient had a history of two similar episodes at 1.5 and 2 months of age without any known underlying cause. In each attack the patient was hospitalized and improved with management of dehydration and electrolyte imbalance. T...

Abnormal Nails in an Infant

AN UNUS UAL PRESENTATION OF LEECH LEADING TO SEVERE HEMAT EMESIS IN AN INFANT

A nine month old infant was taken to a rural medical center due to hematemesis and melena. The bleeding persisted in spite of active management with gastric lavage, intravenous cimetidine, antiacid therapy and blood transfusion for four days' duration. The patient was referred to our center for further evaluation and management. On arrival he was pale and ill looking with active bleeding fr...

Appendicitis in an Infant with Atypical Features.

Acute appendicitis is an uncommon and challenging disease in infancy. Usually, the clinical presentation in neonates and infants is non-specific and varies depending on the age of the child and duration of the disease. Diagnosis of incomplete and atypical Kawasaki disease (KD) in infants is also a challenging aspect and there is no gold standard for this diagnosis and sometimes fever is the onl...