Abstract
This article has no abstract. The first 100 words appear below: A 10-year old boy, the only issue of his deceased parents, was admitted to the department for the management of recurrent episodes of diarrhea and severe wasting for 2.5 months, low grade, irregular fever with evening rise of temperature, anorexia and repeated attack of skin blister for the last 1 year. The patient complained of chronic, painless, non-bloody, profuse watery diarrhea with a weight loss of 10 kg (decrease to 18 kg from 28 kg prior to illness). He also complained of cough for the last seven days. His father was a driver and died at his 1 year of age due to an unknown disease.
Highlights
A 10-year-old boy presented with recurrent episodes of diarrhea, low grade, irregular fever and severe wasting
Dr Hazera Akter: A 10-year old boy, the only issue of his deceased parents, was admitted to the department for the management of recurrent episodes of diarrhea and severe wasting for 2.5 months, low grade, irregular fever with evening rise of temperature, anorexia and repeated symptom of skin blister (Figure 1) for the last 1 year
The final clinical diagnosis is based on the combination of clinical history with endoscopic studies, culture and polymerase chain reaction (PCR) for M. tuberculosis, histopathological findings, radiological investigations and response to therapy
Summary
The final clinical diagnosis is based on the combination of clinical history (fever, anorexia and weight loss, diarrhea, hematochezia and malabsorption, abdominal pain, and distention and vomiting) with endoscopic studies, culture and polymerase chain reaction (PCR) for M. tuberculosis, histopathological findings, radiological investigations (barium meal, follow through, enema) and response to therapy. Dr Akter: Chronic diarrhea is a common presenting feature of inflammatory bowel disease. Our patient has watery diarrhea not associated with passes of blood and abdominal pain.
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