Milk Curd Syndrome in a Neonate Fed with Goat’s Milk

Tiwari, Kamlesh; Sharma, Chetan; Goyal, Ram Babu

doi:10.21699/jns.v6i4.629

Cited by 3 publications

(4 citation statements)

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“…Although the majority of described cases were attributed to cow's milk-based infant formula, a case of MCS attributed to goat's milk has also been described [6]. MCS has also been described with high caloric fortified expressed breast milk [6]. Our patient was fed one of the newer brands of RTF high caloric preterm formula (24 kcal/oz).…”

Section: Discussionmentioning

confidence: 86%

“…Since 2000, there has been a resurgence in the incidence of MCS, probably because of the increasing number of low-birth-weight babies using formula feed [5]. Although the majority of described cases were attributed to cow's milk-based infant formula, a case of MCS attributed to goat's milk has also been described [6]. MCS has also been described with high caloric fortified expressed breast milk [6].…”

Section: Discussionmentioning

confidence: 99%

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Perforated Bowel after Obstruction in a Neonate with Milk Curd Syndrome following Ready to Feed Infant Formula

Rahman¹,

Ghribi²,

Alabdulghani³

et al. 2019

DSAHMJ

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Diagnosis management milk curd syndrome newborn A B S T R A C TMilk Curd Syndrome (MCS) is a known iatrogenic disease and an unusual and uncommon cause of neonatal intestinal obstruction, particularly in premature babies. MCS is caused by feeding infant formula rich in calcium and fat. The disease is known for its morbidity and death rate particularly when the disorder is not diagnosed in good time. The overall incidence has decreased because of improvement in infant feeding formula preparations and feeding practices. We are reporting a case of MCS in a premature baby who was fed a newer brand of ready-to-feed infant formula. The baby required surgical intervention for perforation of his large bowel and survived without complications.

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Section: Discussionmentioning

confidence: 86%

Section: Discussionmentioning

confidence: 99%

Perforated Bowel after Obstruction in a Neonate with Milk Curd Syndrome following Ready to Feed Infant Formula

Rahman¹,

Ghribi²,

Alabdulghani³

et al. 2019

DSAHMJ

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“…Neonatal intestinal obstruction has many differential diagnoses such as intestinal atresias, malrotation and volvulus, meconium ileus, intestinal duplication cysts, meconium peritonitis, anorectal malformations (ARM) etc. [3,4] Anal inspection is very essential to exclude ARM. Plain radiographs of the abdomen cannot pinpoint the diagnosis in every case however depict air fluid levels indicative of intestinal obstruction, and differentiate obstruction of small bowel from large bowel.…”

Section: Discussionmentioning

confidence: 99%

“…Plain radiographs of the abdomen cannot pinpoint the diagnosis in every case however depict air fluid levels indicative of intestinal obstruction, and differentiate obstruction of small bowel from large bowel. [4,5] Microcolon or unused colon is defined as a colon of abnormally small caliber was demonstrated by gastrografin contrast enema study. [5] Microcolon is characteristically seen with small bowel obstruction in newborns.…”

Section: Discussionmentioning

confidence: 99%

Posterior Urethral Valve associated with Meconium Ileus: A Case Report

et al. 2019

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Association of posterior urethral valve with neonatal intestinal obstruction is rare; rarer still is its association with meconium ileus. A 1-day-old male presented with features of neonatal intestinal obstruction. Gastrografin enemas confirmed microcolon and were therapeutic. Later, the neonate developed overflow incontinence and deranged renal functions; micturating cystourethrogram confirmed posterior urethral valve. Cystoscopic valve fulguration was performed after stabilization; outcome was favourable.

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Milk curd syndrome with goat's milk

Gupta

2022

Saudi Journal for Health Sciences

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Milk curd syndrome is an infrequent cause of intestinal obstruction in neonates and early infancy. We are adding to the literature an extremely rare case of milk curd syndrome in a 3-month-old infant who was being fed with goat's milk. A 3-month-old infant presented with features of intestinal obstruction. The patient used to pass a few pellets such as small, firm, white-colored stools after every 2 to 3 days often requiring enema. The baby was fed with goat's milk. Abdominal radiographs suggested large bowel obstruction. The conservative treatment with rectal washes failed. Exploration revealed dilated small bowel with the presence of very dense, inspissated, sticky, and white-colored intraluminal material in the terminal ileum and throughout the colon. Multiple attempts were made to milk the contents distally and finally out of the rectum but failed. A transverse loop colostomy was performed and inspissated milk curds were milked out. The outcome was favorable. The diagnosis of milk curd obstruction should be considered in neonates and infants with signs of the terminal ileum or large bowel obstruction fed with unmodified animal milk, for example, goat's milk (as seen in our case) or formula feeds.

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Milk Curd Syndrome in a Neonate Fed with Goat’s Milk

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Cited by 3 publications

References 4 publications

Perforated Bowel after Obstruction in a Neonate with Milk Curd Syndrome following Ready to Feed Infant Formula

Perforated Bowel after Obstruction in a Neonate with Milk Curd Syndrome following Ready to Feed Infant Formula

Posterior Urethral Valve associated with Meconium Ileus: A Case Report

Milk curd syndrome with goat's milk

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