Exchange transfusion as a treatment strategy in Severe Pertussis with Hyperleukocytosis in an infant -A Case Report
Journal Title: Journal Of Pediatric Critical Care - Year 2019, Vol 6, Issue 4
Abstract
Hyperleukocytosis in pertussis has a correlation with disease severity. We describe a 5-week-old infant with severe pertussis and hyperleukocytosis requiring mechanical ventilation. Baby developed refractory hypoxemia. Two cycles of exchange transfusion were done on different occasions. Exchange transfusion resulted in signifi cant improvement in oxygenation and hemodynamic parameters. Exchange transfusion is a viable treatment option in pertussis hyperleukocytosis complicated by refractory hypoxemia or persistent features of Systemic Infl ammatory Response Syndrome.
Authors and Affiliations
Abdul Rauf, Anil Sachdev, Dhiren Gupta
OSCE: Hypokalemia
Eight years female ,weighing 15 kg, known case of diabetes mellitus for one year, presented with history of fever 3days, polyuria, vomiting and respiratory distress one day. HR 120/min. RR 34/min, CRT <3sec, SpO2 100%. H...
Role of Intravenous immunoglobulin as Immuno-resuscitative therapy in Severe Dengue with Hyperferritinemic Multi-organ Dysfunction Syndrome : A Single Centre Experience
.
Validation of Renal Angina Index to Improve Prediction of Acute Kidney Injury In Critically Ill Children- A Prospective Observational Cohort Study
.
Fluids in Acute Kidney Injury
Early restoration of euvolemia is the initial step in the management of critically ill children and is important for preventing acute kidney injury(AKI). Isotonic crystalloids are the preferred solutions for fluid resusc...
Button Battery Ingestion: An Emerging Pediatric Epidemic
.