Reye's syndrome developing in an infant on treatment of Kawasaki syndrome.

Autor: Chih-Ming Wei, Huey-Ling Chen, Ping-Ing Lee, Chong-Ming Chen, Chun-Yi Ma, Wuh-Liang Hwu
Předmět:
Zdroj: Journal of Paediatrics & Child Health; May2005, Vol. 41 Issue 5/6, p303-304, 2p
Abstrakt: Aspirin is commonly used as an anti-inflammatory therapy for Kawasaki syndrome. Early initiation with high dose aspirin (80 to>100 mg/kg per day), followed by low-dose therapy at the afebrile stage, has been often used to reduce morbidity and mortality in coronary complications. We report a 10-month-old infant who was diagnosed with Kawasaki syndrome. Sudden onset of poor activity, poor appetite, lethargy, tachycardia, tachypnea, hepatomegaly, increased AST/ALT, coagulopathy and hyperammonemia developed 3 days after the high-dose aspirin therapy. His histopathological and ultrastructural findings from the liver biopsy were compatible with Reye's syndrome. He recovered completely, and there was no recurrence. [ABSTRACT FROM AUTHOR]
Databáze: Complementary Index