Miss Nushera Abdullah 16 month old (DOB 15 Nov 2012) female baby 3rd issue consanguineous parents was delivered as a team baby.
She has history of delayed crying due to muconeum aspiration and baby was admitted in NICU for 3 days due to above cause and respiratory distress and then admitted to Dhaka Shishu Hospital (DSH) for 9 days. Reports can be found here.
After that she was very lethargic but her activities were normal as other child but her body tone was low.
At 4month 2 days age she got seizure and till she taking anticonvulsant. After convulsion she stopped smiling and crying in very low voice.
At 7 month age she again admitted to Dhaka Shishu Hospital (DSH) due to diarrhea & electrolyte imbalance at the same time she got TORCH infection as diagnosis nevallse AWD & some dehydration & floppy child & seizure disorder & development delay & TORCH injection & Pneumonia. In treatment O2 inhalation for long time (45 days) NG tube feeding till now, Inj. gancyclovir (28 days) inj Ceftriaxon (15 days) Inj. Fluconzale (15 Days) Inj. Cotrimoxazole (15 days) Inj. Human Albumin and Transfusion (FFP).
All analytes (and ratios) were ‘Within Normal Limits’ as measured by MS/MS (Tandem Mass Spectrometry) screening techniques.
All analytes (and ratios) were ‘Within Normal Limits’ as measured by MS/MS (Tandem Mass Spectrometry) screening techniques.
At 1year 3 month age baby again admitted & H/O convulsion and fever, apnea and cyanosis and on admission baby had no respiration.
After NP – OP suction, UMBO bag ventilation respiration reestablished.
Her S. Electrolyte is very low especially potassium and protein level and baby suffer from severe malnutrition and giving F – 75 & F 100 through NG tube for recovery.
Now all clinical examination and investigation revalues Seizure disorder & developmental delay & Pneumonia & PEM.
(26 Feb 2014)she is only weight 5kg 100g.
(12 March 2014)she is only weight 5kg 500g.
Case summary in PDF
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