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Sudden Cardiac Arrest and Malignant Ventricular Tachycardia in an 8-Year-Old Pediatric Patient Who Has Hemolytic Uremic Syndrome Associated with Shiga Toxin-Producing Escherichia coli

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dc.contributor.authorYEŞİLBAŞ, Osman
dc.contributor.authorYozgat, Can Yilmaz
dc.contributor.authorAKINCI, NURVER
dc.contributor.authorTALEBAZADEH, FARAZ
dc.contributor.authorJAFAROV, UZEYİR
dc.contributor.authorGÜNEY, ABDURRAHMAN ZARİF
dc.contributor.authorOTÇU TEMUR, Hafize
dc.contributor.authorYOZGAT, YILMAZ
dc.contributor.institutionauthorYEŞİLBAŞ, OSMAN
dc.contributor.institutionauthorAKINCI, NURVER
dc.contributor.institutionauthorTALEBAZADEH, FARAZ
dc.contributor.institutionauthorJAFAROV, UZEYİR
dc.contributor.institutionauthorGÜNEY, ABDURRAHMAN ZARİF
dc.contributor.institutionauthorOTÇU TEMUR, HAFİZE
dc.contributor.institutionauthorYOZGAT, YILMAZ
dc.date.accessioned2020-11-21T11:03:03Z
dc.date.available2020-11-21T11:03:03Z
dc.date.issued2020-12-01T00:00:00Z
dc.description.abstractGastrointestinal, neurological, pancreatic, hepatic, and cardiac dysfunction are extrarenal manifestations of hemolytic uremic syndrome associated with Shiga toxinproducing Escherichia coli (STEC-HUS). The most frequent cause of death for STECHUS is related to the central nervous system and cardiovascular system. Cardiac-origin deaths are predominantly related to thrombotic microangiopathy-induced ischemia and the immediate development of circulatory collapse. STEC-HUS cardiac related deaths in children are rare with only sporadic cases reported. In our literature search, we did not come across any pediatric case report about STEC-HUS causing sudden cardiac arrest and malignant ventricular tachycardia (VT). Herein, we report the case of an 8-year-old female child with a typical clinical manifestation of STEC-HUS. On the seventh day of pediatric intensive care unit admission, the patient had a sudden cardiac arrest, requiring resuscitation for 10minutes. The patient had return of spontaneous circulation with severe monomorphic pulsed malignant VT. Intravenous treatment with lidocaine, amiodarone and magnesium sulfate were promptly initiated, and we administered multiple synchronized cardioversions, but VT persisted. Furthermore, we were not able to ameliorate her refractory circulation insufficiency by advanced cardiopulmonary resuscitation. Thus, inevitably, the patient lost her life. This case illustrates the need for aggressive management and the dilemma that pediatric critical care specialists, cardiologists, and nephrologists have to face when dealing with STECHUS that is worsened by a sudden cardiac arrest accompanied with VT.
dc.identifier.citationYEŞİLBAŞ O., Yozgat C. Y. , AKINCI N., TALEBAZADEH F., JAFAROV U., GÜNEY A. Z. , OTÇU TEMUR H., YOZGAT Y., -Sudden Cardiac Arrest and Malignant Ventricular Tachycardia in an 8-Year-Old Pediatric Patient Who Has Hemolytic Uremic Syndrome Associated with Shiga Toxin-Producing Escherichia coli-, JOURNAL OF PEDIATRIC INTENSIVE CARE, cilt.9, ss.290-294, 2020
dc.identifier.doi10.1055/s-0040-1708553
dc.identifier.pubmed33133747
dc.identifier.urihttp://hdl.handle.net/20.500.12645/27405
dc.identifier.wosWOS:000583627400011
dc.titleSudden Cardiac Arrest and Malignant Ventricular Tachycardia in an 8-Year-Old Pediatric Patient Who Has Hemolytic Uremic Syndrome Associated with Shiga Toxin-Producing Escherichia coli
dc.typeArticle
dspace.entity.typePublication
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