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Radiological Case of the Month
Lionel W. Young, MD;
Jan Wiggelinkhuizen, MBBCh, FCP(SA), MMed(Paed);
Colin Sinclaire-Smith, MBChB, MMed(Path)
Am J Dis Child. 1978;132(5):517-518.
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| Since this article does not have an abstract, we have provided the first 150 words of the full text PDF and any section headings. |
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Clinical History.—This 6-month-old male infant was seen with a generalized convulsion, mild cough, and epistaxis. Perinatal and past history were unremarkable. He was one of a family of eight children, all of whom were well.
Physical Examination.—The infant was alert and well nourished, but pale, with mild fever (37.4 C). Mild bronchiolitis/bronchopneumonia was confirmed roentgenographically. Cerebrospinal fluid examination was normal. Twenty-four hours later, he had another generalized convulsion. Further investigations revealed renal failure, with a BUN level of 100 mg/100 ml, metabolic acidosis, hyponatremia, and hypocalcemia. The hemoglobin level was 5.5 gm/100 ml; WBC, platelet, and reticulocyte counts were normal. A blood smear showed schistocytes and burr cells.
Urine examination showed 1+ proteinuria, 3+ glycosuria, and a few granular casts, but no cellular elements or crystals. Treatment for renal failure, peritoneal dialysis, and blood transfusion resulted in improvement in his condition, but severe oligoanuria persisted.
. . . [Full Text PDF of this Article]
Author Affiliations
From the Departments of Paediatrics and Child Health and Pathology, University of Cape Town (South Africa) Medical School.
Footnotes
Reprint requests to Department of Radiology, Children's Hospital of Pittsburgh, 125 DeSoto St, Pittsburgh, PA 15213 (Dr Young).
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