Malwade Sudhir, Shaligram Ruhi, Garud Balakrushna P, Mane Shailaja
Pediatrics, Dr. D.Y. Patil Medical College, Hospital and Research Center, Dr. D. Y. Patil Vidyapeeth (Deemed to be University) Pimpri, Pune, IND.
Cureus. 2024 Aug 27;16(8):e67892. doi: 10.7759/cureus.67892. eCollection 2024 Aug.
Cystic fibrosis (CF) is a genetic disorder that affects various bodily organs, predominantly the pulmonary and gastrointestinal systems. Identifying CF at an early stage can pose a significant challenge, especially when symptoms manifest unusually. The following case study depicts an exceptional and atypical instance of CF in a neonate. A male infant aged 4 months exhibited symptoms such as failure to thrive (FTT), inadequate weight gain, feeding difficulties, slight developmental delay (presence of head lag), and sporadic irritability. The patient experienced an uncomplicated prenatal and postnatal period. Subsequently, the patient suffered from recurring infections and a notable inability to gain weight. Initial tests, encompassing assessments of liver functionality and metabolic processes, yielded inconclusive results. A genetic assessment pinpointed a detrimental cystic fibrosis transmembrane conductance regulator () gene mutation on Exon 8, thereby confirming the presence of CF. This analysis underscores the importance of considering CF even in the absence of typical indications. Timely and precise identification through genetic analysis is imperative for effective treatment and enhanced prognoses among individuals with CF.
囊性纤维化(CF)是一种影响身体各个器官的遗传性疾病,主要累及肺部和胃肠道系统。在早期阶段识别CF可能是一项重大挑战,尤其是当症状表现异常时。以下案例研究描述了一名新生儿中CF的一个特殊且非典型的病例。一名4个月大的男婴出现了发育不良(FTT)、体重增加不足、喂养困难、轻微发育迟缓(头后仰)和间歇性易怒等症状。该患者在产前和产后均未出现并发症。随后,患者反复感染且明显无法增重。初步检查,包括肝功能和代谢过程评估,结果不明确。基因评估在第8外显子上发现了有害的囊性纤维化跨膜传导调节因子()基因突变,从而证实了CF的存在。该分析强调了即使在没有典型指征的情况下也应考虑CF的重要性。通过基因分析进行及时准确的识别对于CF患者的有效治疗和改善预后至关重要。