Pediatric Reports (Dec 2014)

A case of protracted diarrhea in a newborn: a diagnostic challenge

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

DOI
https://doi.org/10.4081/pr.2014.5596
Journal volume & issue
Vol. 6, no. 3

Abstract

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Congenital diarrhea comprises a broad range of pathologies and often requires a thor- ough 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.

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