Re-Feeding Syndrome as a Rare Sequelae Post Resolution of DKA

Refeeding Syndrome (RS) refers to electrolyte imbalances that occur in malnourished and abruptly refed patients. Though there is scarce evidence in pediatric literature, it is a potential life-threatening condition that can lead to organ dysfunction. It occurs when the body’s metabolism suddenly shifts from a catabolic state to an anabolic state which leads to rise in insulin secretion and electrolyte imbalances. Though is no clear definition of Refeeding syndrome, hypophosphatemia is considered as the hallmark of refeeding syndrome. We report the case of a 12 yr old male child, who recovered from diabetes ketoacidosis and as soon as enteral nutrition was initiated the child landed up in refeeding syndrome. Physicians should be aware about the risk factors leading to refeeding syndrome as prompt identification and initiation of treatment is the key to its management.