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By Ved Caculo, MBBS, MD; Swamini Panandiker, MBBS, DMRD, DNB; Marizela J. D. C. Carvalho, MBBS; and Shikha Lawande, MBBS
History
A 15-day-old male infant, born at term to a 31-year-old gravida 2 para 1 woman by spontaneous vaginal delivery, presented with lethargy and failure to thrive because of inadequate breast-feeding. Other symptoms included oliguria with high-colored urine, reduced activity, and alteration in the level of consciousness for four days. Antenatal history was uneventful. There was no asphyxia at birth. The baby had a birth weight of 3.65 kg. Immediately after birth, there was no neonatal hyperbilirubinemia, hypoglycemia, or feeding intolerance. Continue reading »
History
A 15-day-old male infant, born at term to a 31-year-old gravida 2 para 1 woman by spontaneous vaginal delivery, presented with lethargy and failure to thrive because of inadequate breast-feeding. Other symptoms included oliguria with high-colored urine, reduced activity, and alteration in the level of consciousness for four days. Antenatal history was uneventful. There was no asphyxia at birth. The baby had a birth weight of 3.65 kg. Immediately after birth, there was no neonatal hyperbilirubinemia, hypoglycemia, or feeding intolerance. Continue reading »
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