Acute severe hypertension associated with acute gastroenteritis in children
| Autor: | Jennifer E Fishbein, Pamela Singer, Christine B. Sethna, Laura Castellanos-Reyes |
|---|---|
| Jazyk: | angličtina |
| Rok vydání: | 2020 |
| Předmět: |
Pediatrics
medicine.medical_specialty Sympathetic nervous system Endocrinology Diabetes and Metabolism 030204 cardiovascular system & hematology Kidney law.invention Acute illness 03 medical and health sciences 0302 clinical medicine Short Reports law Internal Medicine Medicine Humans 030212 general & internal medicine Child Antihypertensive Agents business.industry Kidney pathology Acute gastroenteritis Intensive care unit Target organ damage Complete resolution Gastroenteritis Organ damage Hospitalization medicine.anatomical_structure Hypertension Cardiology and Cardiovascular Medicine business |
| Zdroj: | J Clin Hypertens (Greenwich) |
| Popis: | Acute severe hypertension in otherwise healthy children with acute illness requiring hospitalization for BP management is uncommon and warrants immediate evaluation. We describe 10 cases of children presenting with acute gastroenteritis and found to have acute severe hypertension. They required admission to the hospital for antihypertensive treatment, including 2 to the intensive care unit, but all had normalization of BP and were able to stop treatment with resolution of the acute illness. All patients had thorough testing for secondary causes of hypertension and for signs of end-target organ damage, which were unremarkable. To our knowledge, acute severe hypertension in the setting of acute gastroenteritis without underlying kidney pathology and with complete resolution after illness has not been previously described. The mechanism of this association is not clear, although activation of the sympathetic nervous system is suspected. These cases illustrate the importance of thoroughly assessing BP in the acute setting. |
| Databáze: | OpenAIRE |
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