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Refeeding syndrome in a small-for-dates micro-preemie receiving early parenteral nutrition
Hiroshi Mizumoto1, Masamitsu Mikami, Hirotsugu Oda
1Department of Pediatrics, Kitano Hospital, Tazuke Kofukai Medical Research Institute, Osaka, Japan. mizumoto@kitano-hp.or.jp
Abstract:
This report describes a small-for-date extremely low birth weight infant who manifested bradycardic events, respiratory failure, and hemolytic jaundice during her first week of life. These complications were attributed to severe hypophosphatemia and hypokalemia. Inadequate supply and refeeding syndrome triggered by early aggressive parenteral nutrition were responsible for electrolyte abnormalities.
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