Hypophosphataemia as an element of ‘refeeding syndrome’ – a complication of nutritional treatment in an extremely  neglected 5-year-old girl with infantile cerebral palsy

Marlena Jakubczyk; Mieczysława Czerwionka-Szaflarska; Inga Adamska; Kinga Kupczyk; Maciej Matczuk; Krzysztof Kusza; Cezary Popławski; Roman Kaźmirczuk; Andrzej I. Prokurat

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Gastroenterology Review/Przegląd Gastroenterologiczny

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2/2009
vol. 4

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abstract:

Case report

Hypophosphataemia as an element of ‘refeeding syndrome’ – a complication of nutritional treatment in an extremely neglected 5-year-old girl with infantile cerebral palsy

Marlena Jakubczyk

,

Mieczysława Czerwionka-Szaflarska

,

Inga Adamska

,

Kinga Kupczyk

,

Maciej Matczuk

,

Krzysztof Kusza

,

Cezary Popławski

,

Roman Kaźmirczuk

,

Andrzej I. Prokurat

Przegląd Gastroenterologiczny 2009; 4 (2): 93–99

Online publish date: 2009/04/09

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AMA

Jakubczyk M, Czerwionka-Szaflarska M, Adamska I, et al. Hypophosphataemia as an element of ‘refeeding syndrome’ – a complication of nutritional treatment in an extremely  neglected 5-year-old girl with infantile cerebral palsy. Gastroenterology Review/Przegląd Gastroenterologiczny. 2009;4(2):93-99.

APA

Jakubczyk, M., Czerwionka-Szaflarska, M., Adamska, I., Kupczyk, K., Matczuk, M.,  & Kusza, K. et al. (2009). Hypophosphataemia as an element of ‘refeeding syndrome’ – a complication of nutritional treatment in an extremely  neglected 5-year-old girl with infantile cerebral palsy. Gastroenterology Review/Przegląd Gastroenterologiczny, 4(2), 93-99.

Chicago

Jakubczyk, Marlena, Mieczysława Czerwionka-Szaflarska, Inga Adamska, Kinga Kupczyk, Maciej Matczuk, Krzysztof Kusza,  and Cezary Popławski et al. 2009. "Hypophosphataemia as an element of ‘refeeding syndrome’ – a complication of nutritional treatment in an extremely  neglected 5-year-old girl with infantile cerebral palsy". Gastroenterology Review/Przegląd Gastroenterologiczny 4 (2): 93-99.

Harvard

Jakubczyk, M., Czerwionka-Szaflarska, M., Adamska, I., Kupczyk, K., Matczuk, M., Kusza, K., Popławski, C., Kaźmirczuk, R.,  and Prokurat, A. (2009). Hypophosphataemia as an element of ‘refeeding syndrome’ – a complication of nutritional treatment in an extremely  neglected 5-year-old girl with infantile cerebral palsy. Gastroenterology Review/Przegląd Gastroenterologiczny, 4(2), pp.93-99.

MLA

Jakubczyk, Marlena et al. "Hypophosphataemia as an element of ‘refeeding syndrome’ – a complication of nutritional treatment in an extremely  neglected 5-year-old girl with infantile cerebral palsy." Gastroenterology Review/Przegląd Gastroenterologiczny, vol. 4, no. 2, 2009, pp. 93-99.

Vancouver

Jakubczyk M, Czerwionka-Szaflarska M, Adamska I, Kupczyk K, Matczuk M, Kusza K et al. Hypophosphataemia as an element of ‘refeeding syndrome’ – a complication of nutritional treatment in an extremely  neglected 5-year-old girl with infantile cerebral palsy. Gastroenterology Review/Przegląd Gastroenterologiczny. 2009;4(2):93-99.

Extreme malnutrition in children, similarly as among adults, most often occurs during the course of chronic diseases, but it can also occur in cases of neglect. A 5-year-old girl was admitted due to symptoms of cachexia. Physical examination revealed the following abnormalities: features of cerebral tetraplegia, significant body mass deficiency (8 kg, 44.4%), atrophic subcutaneous and muscular tissue, and pale, dry mucosa of the oral cavity. Laboratory tests showed extreme anaemia in two consecutive assays (Hb 1.7 g/dl). Transfusion of erythrocyte concentrate was urgently performed. Considering the observed aversion to food, highly caloric and high-protein diet and partial parenteral nutrition with complete vitamin and microelement requirements were applied. Laboratory tests during 2-5 days showed decreased levels of phosphorus and calcium characteristic for ‘refeeding syndrome’, which indicated a long period of starvation. She was nourished only orally for 6 days. The girl gained weight. Gradually red blood cell parameters became normal. We present this case to point out the possibility of complications concerning phosphorus-calcium balance during nutritional treatment in a small child.

keywords:

Hypophosphataemia as an element of ‘refeeding syndrome’ – a complication of nutritional treatment in an extremely neglected 5-year-old girl with infantile cerebral palsy

Marlena Jakubczyk , Mieczysława Czerwionka-Szaflarska , Inga Adamska , Kinga Kupczyk , Maciej Matczuk , Krzysztof Kusza , Cezary Popławski , Roman Kaźmirczuk , Andrzej I. Prokurat

refeeding syndrome, children, malnutrition

Marlena Jakubczyk

,

Mieczysława Czerwionka-Szaflarska

,

Inga Adamska

,

Kinga Kupczyk

,

Maciej Matczuk

,

Krzysztof Kusza

,

Cezary Popławski

,

Roman Kaźmirczuk

,

Andrzej I. Prokurat