Cargando…

Vomiting as a Presenting Symptom of Infantile Vitamin B12 Deficiency

An 8-month-old, exclusively breastfed girl presented with a five-month history of vomiting with subsequent failure to thrive and lethargy. Family history was notable for the maternal history of gastroschisis. Mother had no dietary restrictions and had successfully breastfed multiple children for >...

Descripción completa

Detalles Bibliográficos
Autores principales: Wong, Sienna, Ahmad, Nabeeha, Rossetti, Allison L
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Cureus 2022
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9205382/
https://www.ncbi.nlm.nih.gov/pubmed/35733471
http://dx.doi.org/10.7759/cureus.25134
_version_ 1784729117454761984
author Wong, Sienna
Ahmad, Nabeeha
Rossetti, Allison L
author_facet Wong, Sienna
Ahmad, Nabeeha
Rossetti, Allison L
author_sort Wong, Sienna
collection PubMed
description An 8-month-old, exclusively breastfed girl presented with a five-month history of vomiting with subsequent failure to thrive and lethargy. Family history was notable for the maternal history of gastroschisis. Mother had no dietary restrictions and had successfully breastfed multiple children for >12 months without issue. Initial evaluation was notable for macrocytic anemia. Subsequent serum B(12) levels were undetectable. Upon further questioning, the mother had significant bowel resection as an infant due to complications of gastroschisis. Maternal serum B(12 )levels were also undetectable. The infant’s symptoms resolved with supplementation.
format Online
Article
Text
id pubmed-9205382
institution National Center for Biotechnology Information
language English
publishDate 2022
publisher Cureus
record_format MEDLINE/PubMed
spelling pubmed-92053822022-06-21 Vomiting as a Presenting Symptom of Infantile Vitamin B12 Deficiency Wong, Sienna Ahmad, Nabeeha Rossetti, Allison L Cureus Internal Medicine An 8-month-old, exclusively breastfed girl presented with a five-month history of vomiting with subsequent failure to thrive and lethargy. Family history was notable for the maternal history of gastroschisis. Mother had no dietary restrictions and had successfully breastfed multiple children for >12 months without issue. Initial evaluation was notable for macrocytic anemia. Subsequent serum B(12) levels were undetectable. Upon further questioning, the mother had significant bowel resection as an infant due to complications of gastroschisis. Maternal serum B(12 )levels were also undetectable. The infant’s symptoms resolved with supplementation. Cureus 2022-05-19 /pmc/articles/PMC9205382/ /pubmed/35733471 http://dx.doi.org/10.7759/cureus.25134 Text en Copyright © 2022, Wong et al. https://creativecommons.org/licenses/by/3.0/This is an open access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.
spellingShingle Internal Medicine
Wong, Sienna
Ahmad, Nabeeha
Rossetti, Allison L
Vomiting as a Presenting Symptom of Infantile Vitamin B12 Deficiency
title Vomiting as a Presenting Symptom of Infantile Vitamin B12 Deficiency
title_full Vomiting as a Presenting Symptom of Infantile Vitamin B12 Deficiency
title_fullStr Vomiting as a Presenting Symptom of Infantile Vitamin B12 Deficiency
title_full_unstemmed Vomiting as a Presenting Symptom of Infantile Vitamin B12 Deficiency
title_short Vomiting as a Presenting Symptom of Infantile Vitamin B12 Deficiency
title_sort vomiting as a presenting symptom of infantile vitamin b12 deficiency
topic Internal Medicine
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9205382/
https://www.ncbi.nlm.nih.gov/pubmed/35733471
http://dx.doi.org/10.7759/cureus.25134
work_keys_str_mv AT wongsienna vomitingasapresentingsymptomofinfantilevitaminb12deficiency
AT ahmadnabeeha vomitingasapresentingsymptomofinfantilevitaminb12deficiency
AT rossettiallisonl vomitingasapresentingsymptomofinfantilevitaminb12deficiency