| Therapeutic plasma exchange in the treatment of exertional heat stroke and multiorgan failure. | |
| | |
MedLine Citation:
|
PMID: 23338054 Owner: NLM Status: Publisher |
Abstract/OtherAbstract:
|
BACKGROUND: Exertional heat stroke (EHS) results in a constellation of systemic inflammatory responses resulting in multiorgan failure and an extremely high mortality. CASE DIAGNOSIS AND TREATMENTS: We present the case of an 11-year-old obese male who suffered EHS with rhabdomyolysis and concurrent renal, pulmonary, and hepatic failure. Conventional therapies including continuous veno-venous hemodiafiltration (CVVHDF) were ineffective in preventing ongoing deterioration in clinical status. Liver biopsy was reported as "extensive hepatocyte ballooning" and liver-kidney transplantation was tentatively planned. CONCLUSIONS: The addition of therapeutic plasma exchange using the Prismaflex® system (Gambro, Lakewood, CO, USA) resulted in a reversal of the inflammatory process and recovery from multiorgan failure. Liver biopsy was not a reliable indicator of irreversible hepatic injury. |
| | |
Authors:
|
Vimal Master Sankar Raj; Amanda Alladin; Brent Pfeiffer; Chryso Katsoufis; Marissa Defreitas; Alicia Edwards-Richards; Jayanthi Chandar; Wacharee Seeherunvong; Gwenn McLaughlin; Gaston Zilleruelo; Carolyn L Abitbol |
Related Documents
:
|
16820604 - Development of a new method for endovascular aortic repair: combination therapy of cell... 1679634 - Hard graft? future challenges in transplantation. 20606604 - Advancement of mesenchymal stem cell therapy in solid organ transplantation (misot). 17874284 - Class and ethnicity in the global market for organs: the case of korean cinema. 23195424 - Skilled motor control for the preclinical assessment of functional deficits and recover... 19915634 - Extracorporeal photopheresis for the prevention of acute gvhd in patients undergoing st... |
Publication Detail:
|
Type: JOURNAL ARTICLE Date: 2013-1-22 |
Journal Detail:
|
Title: Pediatric nephrology (Berlin, Germany) Volume: - ISSN: 1432-198X ISO Abbreviation: Pediatr. Nephrol. Publication Date: 2013 Jan |
Date Detail:
|
Created Date: 2013-1-22 Completed Date: - Revised Date: - |
Medline Journal Info:
|
Nlm Unique ID: 8708728 Medline TA: Pediatr Nephrol Country: - |
Other Details:
|
Languages: ENG Pagination: - Citation Subset: - |
Affiliation:
|
Department of Pediatrics, Division of Pediatric Nephrology (R-714), University of Miami/Holtz Children's Hospital at Jackson Health System, PO Box 016960, Miami, FL, 33101, USA. |
Export Citation:
|
APA/MLA Format Download EndNote Download BibTex |
| MeSH Terms | |
Descriptor/Qualifier:
|
|
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
Previous Document: Is high-dose cholecalciferol justified in children with chronic kidney disease who failed low-dose m...
Next Document: Associations between neck and shoulder discomfort (Katakori) and job demand, job control, and worksi...