Inflammatory Markers and Cbc Indices in Severely Malnourished Children

Inclusion Criteria: \- All children aged 6 months up to 5 years who were admitted with the diagnosis of SAM . The diagnosis of SAM was made using the recent WHO criteria measuring weight for length/height and mid-upper arm circumference (MUAC) and the presence of bilateral pitting oedema and severe wasting. Two forms of SAM exist in children: nonoedematous malnutrition, also known as marasmus, characterized by severe wasting and currently defined by weight for length/height z score \< -3 of the WHO growth standard, or MUAC \<11.5 cm; and edematious malnutrition defined by bilateral pitting edema also known as Kwashiorkor.10 The term marasmic kwashiorkor, has been used to describe children with both wasting and edema. Exclusion Criteria: * 1\. Children below 6 months or above 5 years 2. Children with mild and moderate malnutrition, 3. Children with malnutrition secondary to serious underlying conditions including * Congenital anomalies, inborn errors of metabolism, malignancies, inherited autosomal disorders like cystic fibrosis, chronic diarrhial diseases like coeliac disease, * Congenital cardiac diseases, chronic kidney disease were excluded from the study.