Altered Mental Status and Respiratory Failure in an 11-Year-Old Female.

Autor: Ribeiro ER; Pediatrics, Nemours Children's Hospital, Orlando, USA., Livingston F; Pulmonology, Nemours Children's Hospital, Orlando, USA., Kahana M; Pediatric Critical Care Medicine, Nemours Children's Hospital, Orlando, USA., Smith R; Pediatric Critical Care Medicine, Nemours Children's Hospital, Orlando, USA.
Jazyk: angličtina
Zdroj: Cureus [Cureus] 2021 May 22; Vol. 13 (5), pp. e15164. Date of Electronic Publication: 2021 May 22.
DOI: 10.7759/cureus.15164
Abstrakt: Congenital central hypoventilation syndrome (CCHS) is a rare disorder that results in profound hypoventilation that is most prominent during periods of sleep. Caused by a genetic mutation in the PHOX2B gene, CCHS typically presents in the newborn period with symptoms of hypoventilation. However, there is a subset of patients with the same genetic mutation who present much later in life, which is termed late-onset congenital central hypoventilation syndrome (LO-CCHS). The reason for its late presentation is unclear but is often dramatic. Given its rarity, the diagnosis can be difficult to establish but can be accomplished by using a systematic approach. Here, we present a case of LO-CCHS in an 11-year-old female who presented with respiratory failure and altered mental status.
Competing Interests: The authors have declared that no competing interests exist.
(Copyright © 2021, Ribeiro et al.)
Databáze: MEDLINE