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Published on: September 5, 2011
Identical twin Hispanic male infants with nonbilious nonbloody vomiting and diarrhea
Tracy R Prematta1, Tracy B Fausnight
1Division of Pulmonary, Allergy and Critical Care Medicine, Penn State Hershey Medical Center, Hershey, Pennsylvania, USA. tprematta@hmc.psu.edu
Abstract:
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.
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