PEDIATRICS Vol. 43 No. 1 January 1969, pp. 106-110
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Glucose-galactose Malabsorption Complicated by Monilial Arthritis

Albert W. Pruitt M.D.1, James L. Achord M.D.1, Frank W. Fales Ph.D.1, and Joseph H. Patterson M.D.1

1 Departments of Pediatrics, Medicine, and Biochemistry Emory University School of Medicine The Henrietta Egleston Hospital for Children Atlanta, Georgia 30322

An infant is reported with malabsorption of actively transported monosaccharides; she presented with profound diarrhea and severe dehydration. Her course was complicated by the development of monilial arthritis. The failure to absorb glucose was demonstrated over a 24-month follow-up period. A glucose-galactose free, fructose diet appeared to be lifesaving. The monilial arthritis responded to intra-articular doses of amphotericin B and unusually low doses of intravenous therapy.