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The protein loss from the digestive tract can result from many diseases, including inflammatory bowel disease, neoplasm, abnormalities of the lymphatic system, and infection such as tuberculosis, rotavirus. Primary intestinal lymphangiectasia is a rare protein-losing enteropathy caused by dilatation of lymph ducts in from the intestine. Differential diagnosis of protein losing enteropathy may be difficult in case of concurrent disorders of rotavirus infection and primary intestinal lymphangiectasy. Here we report the case of a 3-month-old male infant with protein-losing enteropathy caused by primary intestinal lymphangiectasia co-existing with rotavirus infection.

Primary intestinal lymphangiectasia co-existing with rotavirus infection. Who pulled the trigger for protein loss?