Case records of the Massachusetts General Hospital. Weekly clinicopathological exercises. Case 8-1979.

The case of a nine-year-old girl admitted to the hospital because of 
coma is presented. She was found shortly after birth to have 
meconium ileus and a high concentration of sodium in her sweat 
indicative of cystic fibrosis. Clinical diagnoses were cystic fibrosis of pancreas, 
cirrhosis of liver, and congestive heart failure secondary to electrolyte imbalance. 
Anatomical diagnoses were cystic fibrosis of pancreas with cirrhosis of liver 
and esophageal varices, brain necrosis, metabolic encephalopathy, bronchiectasis, acute bronchopneumonia, and 
acute renal tubular necrosis. 