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Radiological Case of the Month

Radiological Case of the Month Abstract 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. References 1. Williams HE, Smith LH: Disorders of oxalate metabolism . Am J Med 45:715-735, 1968.Crossref 2. Bourke E, Costello J: The clinical importance of oxalic acid . J Irish Med Assoc 68:93-96, 1975. 3. Katzuni E, Sandbank U: Oxalosis . Arch Dis Child 34:60-62, 1959.Crossref 4. Dent CE, Stamp TCB: Treatment of primary hyperoxaluria . Arch Dis Child 45:735-745, 1970.Crossref 5. Toussaint C, Goffin Y, Potvliege P, et al: Kidney transplantation in primary oxalosis . Clin Nephrol 5:239-244, 1976. http://www.deepdyve.com/assets/images/DeepDyve-Logo-lg.png American Journal of Diseases of Children American Medical Association

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References (6)

Publisher
American Medical Association
Copyright
Copyright © 1978 American Medical Association. All Rights Reserved.
ISSN
0002-922X
DOI
10.1001/archpedi.1978.02120300077016
Publisher site
See Article on Publisher Site

Abstract

Abstract 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. References 1. Williams HE, Smith LH: Disorders of oxalate metabolism . Am J Med 45:715-735, 1968.Crossref 2. Bourke E, Costello J: The clinical importance of oxalic acid . J Irish Med Assoc 68:93-96, 1975. 3. Katzuni E, Sandbank U: Oxalosis . Arch Dis Child 34:60-62, 1959.Crossref 4. Dent CE, Stamp TCB: Treatment of primary hyperoxaluria . Arch Dis Child 45:735-745, 1970.Crossref 5. Toussaint C, Goffin Y, Potvliege P, et al: Kidney transplantation in primary oxalosis . Clin Nephrol 5:239-244, 1976.

Journal

American Journal of Diseases of ChildrenAmerican Medical Association

Published: May 1, 1978

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