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Acute hypervitaminosis A misdiagnosed as malaria in a 7-year-old Nigerian boy

Authors Babatola AO, Olatunya OS, Ogundare EO, Ajite AB, Oluwayemi IO, Thomas AA, Taiwo AB, Fatunla OA, Komolafe AK, Alfred A

Received 30 April 2019

Accepted for publication 15 June 2019

Published 9 July 2019 Volume 2019:12 Pages 213—216


Checked for plagiarism Yes

Review by Single-blind

Peer reviewers approved by Dr Melinda Thomas

Peer reviewer comments 2

Editor who approved publication: Professor Ronald Prineas

Adefunke Olarinre Babatola,1,2 Oladele Simeon Olatunya,1,2 Ezra Olatunde Ogundare,1,2 Adebukola Bidemi Ajite,1,2 Isaac Oludare Oluwayemi,1,2 Awolowo Anthony Thomas,3 Adekunle Bamidele Taiwo,2 Odunayo Adebukola Fatunla,2 Akinwumi Kolawole Komolafe,2 Airemionkhale Alfred2

1Department of Paediatrics, Ekiti State University, Ado-Ekiti, Ekiti State, Nigeria; 2Department of Paediatrics, Ekiti State University Teaching Hospital, Ado-Ekiti, Ekiti State, Nigeria; 3Department of Radiology, Ekiti State University, Ado-Ekiti, Ekiti State, Nigeria

Abstract: Vitamin A supplementation program where single high-dose vitamin A supplements are provided to the qualified (infants and children) at regular intervals is operational in Nigeria as a public health initiative to control vitamin A deficiency which is prevalent in our country in accordance with the WHO recommendations. Reports of symptomatic acute hypervitaminosis A are scarce. We report a case of acute hypervitaminosis A resulting from accidental ingestion of vitamin A supplement capsules. This is to reiterate the need for caregivers to keep drugs out of the reach of children. Clinicians should also have a high index of suspicion.

Keywords: vitamin A supplementation, malaria, accidental ingestion, raised intracranial pressure

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