title: Duodenal perforation in a 12-month old child with severe malaria.
abstract: Peptic ulcer disease (PUD) in children remains rare and difficult to diagnose before the onset of complications. We report on a case of a 12-month child with perforated duodenal ulcer, association with malaria. The severity of the febrile presentation and the positive laboratory confirmation of malaria delayed the diagnosis of PUD. Surgical intervention was successful and without significant sequelae. An awareness of the possibility, and a lower threshold for considering PUD in children may help prevent complications.
authors: University of Cambridge, School of Clinical Medicine, Addenbrooke's Hospital, Hills Road, Cambridge, CB2 0SP, UK.
authors: Nina
authors: N
authors: Goldman
authors: Damien
authors: D
authors: Punguyire
authors: Kingsley
authors: K
authors: Osei-Kwakye
authors: Frank
authors: F
authors: Baiden
mesh_terms: D004381:Duodenal Ulcer / Q000150:complications*; D006801:Humans; D007223:Infant; D008288:Malaria / Q000150:complications*; D008297:Male; D010439:Peptic Ulcer Perforation / Q000150:complications*; D012720:Severity of Illness Index