<prompt> Mostly death in PEM is due to all exceptHypothermiaCCFWorm infestationElectrolyte imbalance  <response>: 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 DiarrheaSevere anemia Liver failure Cardiac failure Dehydration or over hydrationFluid electrolyte imbalance 