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Published on: November 6, 2020
Association of fungal sepsis and galactosemia
Sanjay Verma1, Bhavneet Bharti, P Inusha
1Department of Pediatrics, Advanced Pediatric Center, Post Graduate Institute of Medical Education and Research, Chandigarh, India. sanjay06verma@yahoo.com
Insights
Galactosemia, a rare metabolic disorder, can lead to sepsis in infants. This case highlights a rare instance of fungal sepsis in an infant ultimately diagnosed with galactosemia.
Area of Science:
- Biochemistry
- Pediatrics
- Medical Genetics
Background:
- Galactosemia is a rare inherited metabolic disorder affecting carbohydrate metabolism.
- Infants with galactosemia face an elevated risk of sepsis, with E. coli being a common pathogen.
- Fungal sepsis is an infrequently reported complication in galactosemic infants.
Observation:
- A 45-day-old infant presented with symptoms suggestive of fungal sepsis.
- Diagnostic investigations were conducted to identify the underlying cause of the infant's condition.
- The infant's clinical presentation prompted a deeper investigation into metabolic disorders.
Findings:
- The infant was diagnosed with galactosemia.
- The presented fungal sepsis was found to be a manifestation of the underlying galactosemia.
- This case underscores the importance of considering metabolic disorders in neonatal sepsis.
Implications:
- Early detection and management of galactosemia are crucial for preventing severe complications like sepsis.
- This case broadens the understanding of potential sepsis etiologies in galactosemic infants.
- Highlights the need for comprehensive diagnostic approaches in neonatal sepsis, including metabolic screening.
Abstract:
Galactosemia is one of the rare inborn errors of metabolism, which if detected early can be treated effectively. Galactosemic infants have a significant increased risk of developing sepsis. E. coli sepsis is a known entity, and also an important cause of early mortality in these children. But fungal sepsis in these patients is rarely reported. Here is a case of 45 day-old child who presented with fungal sepsis, which on investigation turned out to be galactosemia.
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