Abstract

Galactosemia is an uncommon diagnosis in preterm infants with intrauterine growth retardation. We are reporting an infant presenting with severe intrauterine growth retardation, Klebsiella pneumoniae urinary tract infection, and galactosemia. There was no clear etiology for intrauterine growth retardation except for a maternal history of smoking. The infant had normal blood glucose measurements during the hospital stay. After a positive state screening report for galactosemia, the infant was switched to soy formula. Klebsiella pneumoniae urinary tract infection (UTI) was treated with 7 days of gentamicin. The infant had a normal neurological examination and eye exam did not reveal any cataracts. A multi-disciplinary team will provide follow up after discharge from the hospital. The growth and development will be closely monitored.