@Article{Jakubczyk2009,
journal="Gastroenterology Review/Przegląd Gastroenterologiczny",
issn="1895-5770",
volume="4",
number="2",
year="2009",
title="Hypophosphataemia as an element of \‘refeeding syndrome\’ \– a complication of nutritional treatment in an extremely  neglected 5-year-old girl with infantile cerebral palsy",
abstract="Extreme malnutrition in children, similarly as among adults, most often occurs during the course of chronic diseases, but it can also occur in cases of neglect. A 5-year-old girl was admitted due to symptoms of cachexia. Physical examination revealed the following abnormalities: features of cerebral tetraplegia, significant body mass deficiency (8 kg, 44.4%), atrophic subcutaneous and muscular tissue, and pale, dry mucosa of the oral cavity. Laboratory tests showed extreme anaemia in two consecutive assays (Hb 1.7 g/dl). Transfusion of erythrocyte concentrate was urgently performed. Considering the observed aversion to food, highly caloric and high-protein diet and partial parenteral nutrition with complete vitamin and microelement requirements were applied. Laboratory tests during 2-5 days showed decreased levels of phosphorus and calcium characteristic for \‘refeeding syndrome\’, which indicated a long period of starvation. She was nourished only orally for 6 days. The girl gained weight. Gradually red blood cell parameters became normal. We present this case to point out the possibility of complications concerning phosphorus-calcium balance during nutritional treatment in a small child.",
author="Jakubczyk, Marlena
and Czerwionka-Szaflarska, Mieczysława
and Adamska, Inga
and Kupczyk, Kinga
and Matczuk, Maciej
and Kusza, Krzysztof
and Popławski, Cezary
and Kaźmirczuk, Roman
and Prokurat, Andrzej I.",
pages="93--99",
url="https://www.termedia.pl/Hypophosphataemia-as-an-element-of-8216-refeeding-syndrome-8217-8211-a-complication-of-nutritional-treatment-in-an-extremely-neglected-5-year-old-girl-with-infantile-cerebral-palsy,41,12241,1,1.html"
}