Document Detail

Food protein-induced enterocolitis syndrome as a cause for infant hypotension.
MedLine Citation:
PMID:  22224148     Owner:  NLM     Status:  In-Data-Review    
Infants with food protein-induced enterocolitis syndrome (FPIES) may present to the emergency department (ED) with vomiting and hypotension. A previously healthy, 5-month-old male presented with vomiting and hypotension 2 to 3 hours after eating squash. The patient was resuscitated with intravenous fluids, antibiotics, and admitted for presumed sepsis. No source of infection was ever found and the patient was discharged. The patient returned 8 days later with the same symptoms after eating sweet potatoes; the diagnosis of FPIES was made during this admission. Two additional ED visits occurred requiring hydration after new food exposure. FPIES should be considered in infants presenting with gastrointestinal complaints and hypotension. A dietary history, including if a new food has been introduced in the last few hours, may help facilitate earlier recognition of the syndrome.
Ryan W Coates; Kevin R Weaver; Rezarta Lloyd; Nicole Ceccacci; Marna Rayl Greenberg
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Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  The western journal of emergency medicine     Volume:  12     ISSN:  1936-9018     ISO Abbreviation:  West J Emerg Med     Publication Date:  2011 Nov 
Date Detail:
Created Date:  2012-01-06     Completed Date:  -     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  101476450     Medline TA:  West J Emerg Med     Country:  United States    
Other Details:
Languages:  eng     Pagination:  512-4     Citation Subset:  -    
Lehigh Valley Hospital and Health Network, Department of Emergency Medicine, Allentown, Pennsylvania.
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