Identical twin Hispanic male infants with nonbilious nonbloody vomiting and diarrhea.
We present a case of twin Hispanic male infants fed with cow's milk formula who presented at 3 weeks of life with nonbilious, nonbloody vomiting and diarrhea. Laboratory evaluation revealed leukocytosis, acidosis, and methemoglobinemia. Sepsis evaluation was negative. Although they recovered quickly with i.v. fluids, symptoms recurred again with ingestion of soy formula. An underlying diagnosis was sought that could explain their symptoms.
Division of Pulmonary, Allergy and Critical Care Medicine, Penn State Hershey Medical Center, Hershey, Pennsylvania, USA. tprematta@hmc.psu.edu
Tracy R
TR
Prematta
Tracy B
TB
Fausnight
D000140:Acidosis, Lactic; D000818:Animals; D002417:Cattle; D002675:Child, Preschool; D003937:Diagnosis, Differential; D003967:Diarrhea; D004760:Enterocolitis; D006630:Hispanic or Latino; D006801:Humans; D006968:Hypersensitivity, Delayed / Q000175:diagnosis* / Q000276:immunology / Q000503:physiopathology; D007114:Immunization; D007223:Infant; D041943:Infant Formula / Q000008:administration & dosage*; D007231:Infant, Newborn; D007964:Leukocytosis; D008297:Male; D008892:Milk / Q000009:adverse effects*; D014430:Twins, Monozygotic; D014481:United States; D014839:Vomiting