International Journal of Medical Paediatrics and Oncology

  • Year: 2017
  • Volume: 3
  • Issue: 1

Spectrum of co-morbidities in severe acute malnutrition with unexpected dyselectrolytemia in diarrhea

1Junior Resident, Dept. of Pediatrics, JNMCH, AMU, Aligarh

2Professor, Dept. of Pediatrics, JNMCH, AMU, Aligarh

Abstract

Co-morbidities are the reason behind high morbidity and mortality in SAM children. There is lack of literature regarding co morbidity pattern in SAM children.

To study the co morbidities in severe acute malnourishment children admitted in NRC.

SAM was diagnosed as per WHO protocol. Total of 299 SAM children were included. Co-morbidities were identified and were investigated further and managed accordingly.

90% SAM children had anaemia.61% had diarrhea and 30% had pneumonia, Vitamin D deficiency features were found in 30% cases. 10% had UTI & 10% Otitis Media. Tuberculosis was diagnosed in 13% of cases. Celiac disease, Hypothyroidism and HIV were not found to be major co morbid conditions.

Co-morbidities identification and treatment in SAM children is key step in reducing morbidity and mortality associated with SAM.

Keywords

Co-morbidities, NRC, Severe Acute Malnutrition, Hypothyroidism, Celiac disease, Diarrhea, HIV