title: Infant with irritability, feeding problems, and progressive developmental abnormalities presenting repeatedly to a pediatric emergency department.
abstract: Emergency physicians often deal with diagnostically elusive cases that may present repeatedly over the course of illness. The infant presented here had a chronic history, prompting multiple physician contacts for initially seemingly common problems. Assessing the patient's progression of symptoms over time and eliciting a brief developmental history in the emergency department (ED) helped guide decision-making toward admission and appropriate diagnostic workup.
authors.affiliation: Department of Pediatrics, Wright State University School of Medicine, Dayton, Ohio, USA.
authors.forename: R
authors.initials: R
authors.lastname: Chabali
authors.forename: W M
authors.initials: WM
authors.lastname: Matre
authors.forename: M K
authors.initials: MK
authors.lastname: Greene
mesh_terms: D002657:Child Development; D002658:Developmental Disabilities / Q000209:etiology*; D004636:Emergency Service, Hospital; D001068:Feeding and Eating Disorders / Q000209:etiology; D005260:Female; D006801:Humans; D007223:Infant; D007508:Irritable Mood; D007965:Leukodystrophy, Globoid Cell / Q000150:complications / Q000175:diagnosis* / Q000503:physiopathology / Q000523:psychology; D008487:Medical History Taking; D010372:Pediatrics