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Pediatr Rep. 2014 Dec 11;6(3):5596. doi: 10.4081/pr.2014.5596. eCollection 2014 Aug 12.

A case of Protracted Diarrhea in a Newborn: a Diagnostic Challenge.

Pediatric reports

Catarina Mendes, Catarina Figueiredo, Helena Mansilha, Elisa Proença, Dulce Oliveira, Rosa Lima, Carmen Carvalho

Affiliations

  1. Division of Pediatrics, Centro Hospitalar do Porto, Portugal.
  2. Division of Neonatology, Centro Hospitalar do Porto, Portugal.
  3. Division of Pediatric Gastroenterology, Centro Hospitalar do Porto, Portugal.

PMID: 25635218 PMCID: PMC4292062 DOI: 10.4081/pr.2014.5596

Abstract

Congenital diarrhea comprises a broad range of pathologies and often requires a thorough workup and immediate treatment. Although rare, microvillous inclusion disease (MVID) should be included in differential diagnosis of this presentation in the neonate. We report the case of a 36-week newborn who developed signs of severe dehydration and lethargy, requiring fluid resuscitation and total parenteral nutrition. MVID was diagnosed by recognition of profuse secretory diarrhea after an exhaustive etiological investigation, confirmed by DNA analysis.

Keywords: diarrhea; microvillous inclusion disease; protracted

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