Severe protein-calorie malnutrition in two brothers due to abuse by starvation

Marcela Montenegro Braga Barroso, Luiza Martins Salvador, Ulysses Fagundes Neto
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引用次数: 4

Abstract

Objective

To describe the case of two siblings with severe protein-calorie malnutrition due to abuse by starvation.

Cases description

The two patients were simultaneously referred to the Hospital Municipal, where they were admitted to the Pediatric Gastroenterology clinic of a university hospital for diagnostic investigation of the cause of severe malnutrition and screening tests for Celiac Disease, Cystic Fibrosis and Environmental enteropathy among others. The exams were all normal, and after detailed research on the interactions of this family, we reached the conclusion that the malnutrition was due to abuse by starvation. The children spent approximately two months in the hospital, receiving a high-protein and high-calorie diet, with significant nutritional recovery.

Comments

Abuse by starvation, although rare, should always be considered of as one of the causes of child malnutrition and pediatrician should be aware of the child's development, as well as the family interactions, to prevent more severe nutritional and emotional consequences in the future.

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由于饥饿的虐待,两兄弟严重的蛋白质卡路里营养不良
目的描述一对兄弟姐妹因饥饿虐待而出现严重蛋白质-热量营养不良的病例。病例描述这两名患者同时被转到市属医院,在那里他们被送入一所大学医院的儿科胃肠病学诊所,对严重营养不良的原因进行诊断调查,并对乳糜泻、囊性纤维化和环境性肠病等进行筛查。检查都很正常,在详细研究了这个家庭的相互作用后,我们得出的结论是,营养不良是由于饥饿的虐待。这些儿童在医院住了大约两个月,接受高蛋白和高热量饮食,营养恢复明显。由饥饿引起的虐待虽然罕见,但应始终被视为儿童营养不良的原因之一,儿科医生应了解儿童的发育以及家庭的相互作用,以防止未来更严重的营养和情感后果。
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