Krüger Carsten, Malleyeck Isaack
Department of Paediatrics, St.-Franziskus-Hospital, Robert-Koch-Str. 55, D-59227 Ahlen, Germany.
Cases J. 2009 Jul 17;2:6287. doi: 10.4076/1757-1626-2-6287.
Cow's milk protein allergy is common in infants from industrialised countries, but is rarely considered in developing countries due to its variable clinical presentation.
We report on a Tanzanian male infant, who developed blood-stained stool when feeding fresh cow's milk at the age of three months. After an initial diagnosis of amoebiasis, possible cow's milk protein allergy was suspected. Further diagnostic work-up was not possible due to lack of resources. After elimination of cow's milk from the diet, the infant recovered soon.
Cow's milk protein allergy should be considered more frequently in infants from developing countries, especially when they belong to agropastoralist tribes and are fed cow's milk early.
牛奶蛋白过敏在工业化国家的婴儿中很常见，但由于其临床表现多样，在发展中国家很少被考虑到。
我们报告一例坦桑尼亚男婴，三个月大时喂食新鲜牛奶后出现便血。最初诊断为阿米巴病，之后怀疑可能是牛奶蛋白过敏。由于缺乏资源，无法进行进一步的诊断检查。饮食中去除牛奶后，婴儿很快康复。
发展中国家的婴儿应更频繁地考虑牛奶蛋白过敏，特别是当他们属于农牧民部落且较早喂食牛奶时。
