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Diarrhoea, vomiting and reduced wet nappies – a familiar story with unexpected twists
  1. Elena Jones1,
  2. JongEun Song2,
  3. Shouja Alam3
  1. 1 Paediatrics, Swansea Bay University Health Board, Swansea, UK
  2. 2 Paediatrics, Aneurin Bevan University Health Board, Newport, UK
  3. 3 Paediatric Nephrology, Noah's Ark Children's Hospital for Wales, Cardiff, UK
  1. Correspondence to Dr Shouja Alam, Paediatric Nephrology, Noah's Ark Children's Hospital for Wales, Cardiff, CF14 4XW, UK; shouja.alam2{at}


Vomiting and diarrhoea is a common presenting complaint in paediatrics. Most often it is due to a benign and self-limiting infectious illness. Here, we explore the diagnostic journey of a 7-month-old infant with these symptoms presenting in a secondary care hospital and the overnight clinical problem solving involved in tackling the unexpected complexities.

  • Paediatrics
  • Nephrology

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  • Contributors EJ, JES and SA are all contributing authors by ICMJE criteria. SA is the guarantor.

  • Funding The authors have not declared a specific grant for this research from any funding agency in the public, commercial or not-for-profit sectors.

  • Competing interests None declared.

  • Provenance and peer review Not commissioned; externally peer reviewed.