Mostly death in PEM is due to all except –

Hepatomegaly is one of the essential diagnostic feature of kwashiorkor, it does not indicate poor prognosis. Poor prognostic factors in PEM, which can lead to early death - Hypothermia                                                                                                                     Hypoglycemia     Systemic infections                                                                                                              Diarrhea Severe anemia     Liver failure   Cardiac failure   Dehydration or over hydration Fluid & electrolyte imbalance