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Rivital Sela, MD; Moshe Nussinovitch, MD; Nitsa Ziv, MD; Benjamin Volovitz, MD; Jacob Amir, MD; Beverly P. Wood, MD
From the Department of Paediatrics C and the Institute of Radiology, Schneider Children's Medical Centre of Israel, Sackler School of Medicine, Tel Aviv University, Petach Tikvah, Israel (Drs Sela, Nussinovitch, Ziv, Volovitz, and Amir); and the University of Southern California, Keck School of Medicine, Los Angeles (Dr Wood).

Arch Pediatr Adolesc Med. 2001;155:1273-1274.

	Since this article does not have an abstract, we have provided the first 150 words of the full text and any section headings.

A 3-YEAR-OLD BOY was referred for evaluation of unilateral testicular swelling and abdominal and lower limb edema. His mother reported that he had been coughing and vomiting for 3 weeks prior to admission. Swelling began 4 weeks before admission. Physical examination showed extensive peripheral edema and ascites. There was no fever and his blood pressure was 106/56 mm Hg.

Laboratory findings were as follows: white blood cell count, 26.3 x 10⁹ (62.7% lymphocytes); hemoglobin, 14.4 g/dL; albumin, 1.7 g/dL; potassium, 4.7 mmol/L; sodium, 132 mmol/L; glucose, 107 mg/dL (5.94 mmol/L); normal urine protein and amylase content; positive urine cytomegalovirus antigen; positive cytomegalovirus antibody, IgM and IgG; and stool ₁-antitrypsin level was 15.2 mg per gram of dry weight stool.

Abdominal ultrasound showed bilateral pleural effusions and a large quantity of intraperitoneal . . . [Full Text of this Article]