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Refeeding syndrome and rumination in a pediatric patient: A case report reflecting an underdiagnosed pediatric

Olga Nikolaidou1,2, Efstratios Saliakellis1,2, Georgia Ioannidou2

  • 14th Department of Pediatrics Medical school, Aristotle University of Thessaloniki Thessaloniki Greece.

JPGN Reports
|May 19, 2025
PubMed

Insights

Refeeding syndrome (RS) can be dangerous for malnourished patients. This case highlights RS in a pediatric patient with rumination syndrome and developmental delay during gastroenteritis.

Area of Science:

  • Pediatric Medicine
  • Metabolic Disorders
  • Gastroenterology

Background:

  • Refeeding syndrome (RS) is a critical metabolic complication in malnourished individuals.
  • Limited evidence exists regarding RS specifically within the pediatric population.
  • Understanding RS in children is crucial for timely diagnosis and management.

Purpose of the Study:

  • To describe a case of refeeding syndrome in a pediatric patient.
  • To highlight the challenges in diagnosing and managing RS in children with complex conditions.
  • To contribute to the limited evidence base of RS in pediatrics.

Main Methods:

  • Case report of a 7-year-old patient.
  • Review of clinical presentation and management during acute gastroenteritis.
  • Analysis of metabolic complications related to refeeding.

Main Results:

  • The patient, with a history of rumination syndrome and developmental delay, developed RS.
  • The condition occurred during an episode of acute gastroenteritis, complicating nutritional support.
  • Prompt recognition and management were essential to address the metabolic derangement.

Conclusions:

  • Refeeding syndrome can occur in pediatric patients with pre-existing conditions like rumination syndrome and developmental delay.
  • Acute gastroenteritis can precipitate RS in vulnerable children.
  • Further research is needed to elucidate RS presentation and management strategies in diverse pediatric populations.

Keywords:
hypokalemiahypophosphatemiamalnutritionneurologically impaired children

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