A Case of Possible Acute Refeeding Syndrome: A Review of a Rare, But Potentially Life-Threatening Diagnosis

Abstract

An 18-year-old Hispanic male presented to the Pediatric Emergency Department with acute on set of bilateral lower extremity edema. He had no history of similar symptoms. He had recently lost 70 pounds in the past six-months by restricting himself to an extreme diet and exercise regimen. Two days prior to presentation, he resumed a normal diet. In this illustrative case, we describe a case report of possible refeeding syndrome and discuss the presentation, risk factors, management and potential complications of this diagnosis.