Gulledge Whitney C, Gerald Brittany M, Sumpter Kathryn M, Rogers Nathaniel G
Department of Pediatrics University of Tennessee Health Science Center Memphis Tennessee USA.
Department of Pediatrics Le Bonheur Children's Hospital Memphis Tennessee USA.
JPGN Rep. 2023 Dec 28;5(1):90-92. doi: 10.1002/jpr3.12028. eCollection 2024 Feb.
A 4-month-old previously healthy female presented with persistent nonbloody, nonbilious emesis, decreased urine output, weight loss, fussiness, and lethargy. Serum levels of calcium were increased at 14.1 mg/dL, serum phosphate decreased at 1.6 mg/dL, and serum parathyroid hormone decreased at <4 pg/mL. The patient had been consuming unsweetened almond milk due to inability to find infant formula during a national infant formula shortage. Milk alternatives including almond milk are calorie-poor, low fat, low protein, and too high in free water and calcium to safely be the primary nutrition source for infants.
一名4个月大、此前健康的女婴出现持续性非血性、非胆汁性呕吐、尿量减少、体重减轻、烦躁和嗜睡症状。血清钙水平升高至14.1毫克/分升，血清磷降低至1.6毫克/分升，血清甲状旁腺激素降低至<4皮克/毫升。在全国婴儿配方奶粉短缺期间，由于找不到婴儿配方奶粉，该患者一直在饮用无糖杏仁奶。包括杏仁奶在内的替代奶热量低、脂肪低、蛋白质低，且游离水和钙含量过高，无法安全地作为婴儿的主要营养来源。
