Unusual complications of rickets.

A one-year-old female Muslim child weighing 8 kg presented with fever, cough and respiratory distress since 8 days with 6 episodes of convulsions of generalized tonic-clonic type since one day. Between convulsions, the child was irritable without impairment of consciousness. There was a past history of six episodes of generalized tonic-clonic convulsions not associated with fever since the age of seven months, the frequency of which had increased since the last one month, in which the child had four episodes. The child was receiving anticonvulsant carbamazepine in inadequate dose with no response. The developmental and natal history was normal; however, the child had been exclusively breastfed with no weaning. On examination, the child had evidence of anemia and rickets and the neurological examination was normal.