Acta Scientific Nutritional Health

Case ReportVolume 2 Issue 5

Protein Energy Malnutrition Severe Acute Malnutrition, LRTI with KOCH’S

Ushakiran Sisodia*, Nirva Desai and Sonia Akerkar

Diet and Nutrition Department, Nanavati Super Speciality Hospital, Mumbai, India

*Corresponding Author: Ushakiran Sisodia, Diet and Nutrition Department, Nanavati Super Speciality Hospital, Mumbai, India.

Received: March 08, 2018; Published: April 21, 2018

Citation: Ushakiran Sisodia., et al. “Protein Energy Malnutrition Severe Acute Malnutrition, LRTI with KOCH’S”. Acta Scientific Nutritional Health 2.5 (2018).


  The few rare cases found in the developed world is result of ignorance of the nutritional needs of children, particularly in cases of milk allergy. If under nutrition occurs during pregnancy, or before two years of age, it may result in permanent problems with physi cal and mental development. Extreme undernourishment, known as starvations that include; a short height, thin body, very poor energy levels, and swollen legs and abdomen. Often get infections, frequently cold. 1 yr 8 months old male child 3rd birth by order born of NCM admitted with case of cough, fever, and vomiting, poor appetite and weight loss since last two months. An episode of pneumonia at the age of 6 months, following recurrent respiratory tract infections. Only on breast milk and cow’s milk 3 - 4 times a day, poor weight gain since six months of age. Patient was started on F75 Diet I/v/o SAM which child tolerated well, diet progressed to F100 Diet and F120 Diet with daily monitoring of weight. Iron and multivitamin drops were also started, Vitamin A - 2 lakh IU given. Patient’s gradually improved, air entry improved, patient was gaining weight, pedal oedema decreased. Hemodynamically stable, hence being discharged on oral medication. A large percentage of children that suffer from PEM also have other co-morbid conditions, because of delayed weaning.

Keywords: Malnutrition; Infection; Antibiotics; Pneumonia; Diarrhoea; Tuberculosis; F75 Diet

Copyright: © 2018 Ushakiran Sisodia., et al. This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.

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