A Child with Megaloblastic Anaemia in Pre-Infantile Tremor Syndrome: A Case Report

Rajesh Kumar; Jitender Kumar; Atul Gupta

doi:10.47310/iarjms.2022.v03i01.006

Rajesh Kumar Rajesh Kumar Medical Officer [Specialist], Regional Hospital, Kullu, Himachal Pradesh, India
Jitender Kumar Jitender Kumar District Programme Officer, District Kullu, Himachal Pradesh, India
Atul Gupta Atul Gupta District Programme Officer, District Kullu, Himachal Pradesh, India

DOI: https://doi.org/10.47310/iarjms.2022.v03i01.006

Keywords: Infantile tremor syndrome, megaloblastic anemia, severe malnutrition, micronutrient deficiency.

Abstract

Pre-infantile tremor syndrome is a prodromal phase of infantile tremor syndrome affecting children between 5 months to 3 years. It is characterized by vacant look, mental or motor regression, and apathy, inability to recognize mother, lethargy and poor interest in the surroundings. Megaloblastic anemia due to vitamin B12 deficiency is a common feature of the disease. The case discussed presented in a regional healthcare institute with severe anemia. On workup she was diagnosed as pre-infantile tremor syndrome and managed accordingly.