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Volume 16
Issue 3
10.3390/pediatric16030046
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Case Report

Acquired Zinc Deficiency in Preterm Infant Post-Surgery for Necrotizing Enterocolitis (NEC) on Prolonged Total Parenteral Nutrition (TPN)

by
Mansour Al Qurashi
1,2,
Hadeel Mohammad
1,2,
Syed Sameer Aga
2,3,*,
Ahmed Mustafa
1,2,
Jubara Alallah
1,2,
Mohammed Al Hindi
1,2,
Mohammed Al Harbi
1,2 and
Mohammed Hasosah
1,2
1
Department of Pediatrics, Ministry of National Guard Health Affairs (MNGHA), King Saud bin Abdul Aziz University for Health Sciences (KSAU-HS), King Abdulaziz Medical City, Jeddah 21423, Saudi Arabia
2
King Abdullah International Medical Research Center (KAIMRC), King Saud bin Abdulaziz University for Health Sciences (KSAU-HS), Jeddah 21423, Saudi Arabia
3
Basic Medical Sciences, College of Medicine, King Abdullah International Medical Research Center (KAIMRC), King Saud bin Abdulaziz University for Health Sciences (KSAU-HS), King Abdulaziz Medical City, Jeddah 21423, Saudi Arabia
*
Author to whom correspondence should be addressed.
Pediatr. Rep. 2024, 16(3), 551-557; https://doi.org/10.3390/pediatric16030046
Submission received: 13 May 2024 / Revised: 20 June 2024 / Accepted: 20 June 2024 / Published: 26 June 2024
(This article belongs to the Section Inborn Errors and Neonatal Screening)
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Abstract

Zinc (Zn) is a vital trace element that plays a pivotal role in protein synthesis, cellular growth, and differentiation and is involved as a cofactor of metalloenzymes, performing a wide variety of metabolic, immune, and synthesis roles. Zn is required at all stages of an infant’s and child’s development, and severe Zn deficiency has been reported to lead to slower physical, cognitive, and sexual growth. Preterm neonates are at a higher risk of developing zinc deficiency for a variety of reasons, including low Zn intake from enteral feeds containing breast milk, relative malabsorption due to immaturity of the gastrointestinal tract with limited absorptive capacity, increased urinary loss of zinc, and increased demand during the early developmental stages. Moreover, premature infants are at risk of gastrointestinal diseases like necrotizing enterocolitis (NEC), which can limit absorption capacity and potentially lead to malabsorption. TPN is frequently used in preterm infants to provide them with sufficient nutrients and calories. However, it has its own complications, including cholestasis, especially if used for prolonged periods. In this case report, we are presenting the case of a male preterm infant who was delivered by caesarean section at 26 weeks’ gestation. The baby developed an intestinal perforation due to NEC, for which he underwent surgery for resection of the necrotic bowel and the creation of a high ileal stoma and was put on prolonged total parenteral nutrition (TPN), which led to the development of zinc deficiency.
Keywords: diseases; metalloenzymes; total parenteral nutrition (TPN); prematurity; alkaline phosphatase diseases; metalloenzymes; total parenteral nutrition (TPN); prematurity; alkaline phosphatase

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MDPI and ACS Style

Al Qurashi, M.; Mohammad, H.; Aga, S.S.; Mustafa, A.; Alallah, J.; Al Hindi, M.; Al Harbi, M.; Hasosah, M. Acquired Zinc Deficiency in Preterm Infant Post-Surgery for Necrotizing Enterocolitis (NEC) on Prolonged Total Parenteral Nutrition (TPN). Pediatr. Rep. 2024, 16, 551-557. https://doi.org/10.3390/pediatric16030046

AMA Style

Al Qurashi M, Mohammad H, Aga SS, Mustafa A, Alallah J, Al Hindi M, Al Harbi M, Hasosah M. Acquired Zinc Deficiency in Preterm Infant Post-Surgery for Necrotizing Enterocolitis (NEC) on Prolonged Total Parenteral Nutrition (TPN). Pediatric Reports. 2024; 16(3):551-557. https://doi.org/10.3390/pediatric16030046

Chicago/Turabian Style

Al Qurashi, Mansour, Hadeel Mohammad, Syed Sameer Aga, Ahmed Mustafa, Jubara Alallah, Mohammed Al Hindi, Mohammed Al Harbi, and Mohammed Hasosah. 2024. "Acquired Zinc Deficiency in Preterm Infant Post-Surgery for Necrotizing Enterocolitis (NEC) on Prolonged Total Parenteral Nutrition (TPN)" Pediatric Reports 16, no. 3: 551-557. https://doi.org/10.3390/pediatric16030046

APA Style

Al Qurashi, M., Mohammad, H., Aga, S. S., Mustafa, A., Alallah, J., Al Hindi, M., Al Harbi, M., & Hasosah, M. (2024). Acquired Zinc Deficiency in Preterm Infant Post-Surgery for Necrotizing Enterocolitis (NEC) on Prolonged Total Parenteral Nutrition (TPN). Pediatric Reports, 16(3), 551-557. https://doi.org/10.3390/pediatric16030046

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