A 3 year old girl presented with abdominal distention since birth with developmental delay

Abstract

<p><span>This article has no abstract. The first 100 words appear below:</span></p><p>A 3 year old girl, 3<sup>rd</sup> issue of consanguineous parents from the Feni District (south part of Bangladesh) immunized as per EPI schedule presented at the outpatient department with the history of progressive abdominal distension and not growing well since birth. She had also the history of developmental delay and recurrent respiratory tract infection. Still she can not stand without the support and unable to make a sentence completely. Her brother died at 5 months of age with abdominal distention with unknown cause. She had no history of jaundice, hematemesis, melena, convulsion and craving for food.</p>

A 03-months old boy presented with pale stool, jaundice and gradual abdominal distension since birth

“…11 Infections with TORCH are acquired transplacentally and the severity of fetal infection depends on the time during pregnancy when maternal infection occurs. Maternal infection may be asymptomatic and not diagnosed until the baby becomes ill. 12 Intrauterine infection by the TORCH can cause congenital malformations of the central nervous system, intracranial calcification, microcephaly, hydrocephalus, visual defect and deafness in addition to other malformations like congenital heart disease. Only 5% of them may develop complications like anemia, thrombocytopenia, jaundice, hepatomegaly, maculopapular rash, CNS sequelae etc.…”

“…Only 5% of them may develop complications like anemia, thrombocytopenia, jaundice, hepatomegaly, maculopapular rash, CNS sequelae etc. 12,13 The diagnosis of infection is based on the clinical features, antibody detection and virus isolation by the PCR method. 13,14 Figure 1: Ultrasonography of the hepatobiliary system : Uniform liver parenchyma, normal common bile duct and intrahepatic biliary channels and cholelithiasis (cholesterol calculi) in the gall bladder.…”