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- Title
The Infant with Vitamin B12 Deficiency.
- Authors
KARABAYIR, Nalan; ARI, Zeynep; YAMAÇ DİLAVER, Pınar
- Abstract
A 2-month-old male infant was admitted to the emergency clinic with complaints of loss of consciousness. The conscious and hypotonic baby had no good eye contact. In the laboratory tests of the infants who had no symptoms other than hypotonia on physical examination, WBC: 7130/mm3, RBC: 3.17 10e6/μL, hgb: 10.6 g/dL, hct: 29.9, MCV: 94.3, MCH: 33.4, PLT: 480.103/ml, blood sugar: 108 mg/dl, Ca: 10,2 mg/dl, Mg: 2,1 mg/dl Na: 136 mEq/l, K: 3,7 mEq/l, AST: 28 IU, ALT: 32 IU, ammonia: 55.8 μg/dL were measured and tandem mass was normal. On the first day of the hospitalization, tonic contraction was observed for a few seconds. The patient's cranial USG and EEG were normal. While VSD and PFO were detected in the echocardiography of the patient, any abnormality was found in the holter ECG. Vitamin B12 level was 219.9 pg/dl, and homocysteine was 9.2 μmol/ml. Her mother's B12 level was measured at 186 pg/dl and the patient started vitamin B12 IM at 100 mcg/kg/ day. The baby, whose attacks had disappeared since the treatment was started, was discharged on the 7th day of hospitalization. It was found that the baby did not have a seizure in the follow-up performed one week after discharge and the hypotonicity decreased in the control after 1 month.
- Subjects
VITAMIN B12; CORRINOIDS
- Publication
Journal of the Child / Çocuk Dergisi, 2017, Vol 17, Issue 3, p136
- ISSN
1302-9940
- Publication type
Article
- DOI
10.5222/j.child.2017.136