Protein-losing enteropathy caused by Yersinia enterocolitica colitis. (2nd October 2021)

• Record Type: Journal Article
• Authors: Ferreira, Lara; Amaral, Raquel; Gomes, Fernanda; Cabral, José
• Is Part Of: Paediatrics and international child health. Volume 41:Number 4(2021)
• Page Start: 291
• Page End: 294
• Publication Date: 2021-10-02
• Subjects: Protein-losing enteropathy -- Yersinia enterocolitica -- colitis; Pediatrics -- Developing countries -- Periodicals; Children -- Health and hygiene -- Developing countries -- Periodicals; Children -- Diseases -- Developing countries -- Periodicals; 618.920009172405
• DOI: 10.1080/20469047.2021.1890681
• Languages: English
• ISSNs: 2046-9047

Abstract

ABSTRACT: A 7-month-old boy was admitted with acute gastro-enteritis accompanied by fever and hyponatraemic dehydration. The clinical course was complicated by severe hypokalaemia and hypo-albuminaemia with anasarca. Protein-losing enteropathy (PLE) owing to Yersinia enterocolitica colitis was diagnosed and was complicated by fungal sepsis owing to Kodomaea ohmeri . Colonoscopy demonstrated multiple diffuse ulcers and sub-epithelial haemorrhages extending from the rectum to the hepatic angle. He required prolonged nutritional support comprising partial parenteral feeding for 10 days, followed by a hypo-allergenic diet until 13 months of age when cow milk was tolerated. He was discharged on a normal diet and in good health at 19 months of age. Abbreviations AVPU scale: A alert, V verbally responsive, P painfully responsive, U unresponsive; CMV: cytomegalovirus; EBV: Epstein–Barr virus; HIV: human immunodeficiency virus; Ig: immunoglobulin; IBD: inflammatory bowel disease; IPEX: immune dysregulation, polyendocrinopathy, enteropathy, X-linked syndrome; PICU: paediatric intensive care unit; PLE: protein-losing enteropathy