RESUMO
La intoxicación por paracetamol es la principal causa de intoxicación farmacológica en Pediatría. Aunque en el grupo de lactantes es menos frecuente, los menores de 2 meses presentan particularidades metabólicas que predisponen a la intoxicación por este fármaco. Presentamos el caso de una lactante de 2 meses con daño hepático secundario a intoxicación por paracetamol tras administración de una dosis terapéutica del mismo (AU)
Paracetamol toxicity is the main cause of drug poisoning in children. Although less frequent in infants, those younger than 2 months, have metabolic peculiarities that predispose them to intoxication by this drug. Here we present the case of a 2-month-old infant with liver damage secondary to paracetamol intoxication when administering therapeutic doses. (AU)
Assuntos
Humanos , Feminino , Lactente , Doença Hepática Induzida por Substâncias e Drogas/diagnóstico , Doença Hepática Induzida por Substâncias e Drogas/etiologia , Acetaminofen/efeitos adversos , Antipiréticos/efeitos adversosAssuntos
Humanos , Masculino , Adolescente , Paniculite/diagnóstico , Eritema Nodoso/diagnóstico , Doença de Crohn/diagnóstico , Endoscopia , BiópsiaAssuntos
Humanos , Lactente , Pré-Escolar , Criança , Adolescente , Avaliação Nutricional , Desnutrição/diagnóstico , Programas de Rastreamento , Composição CorporalRESUMO
El síndrome de realimentación es una complicacióngrave y potencialmente mortal asociada a la terapianutricional por vía oral, enteral o parenteral. Afecta apacientes con desnutrición severa o en riesgo de desnutrición, como aquellos con parálisis cerebral infantil. Presentamos el caso de una paciente de ocho añoscon parálisis cerebral que ingresó por hipoglucemiasevera y que, tras iniciar la alimentación enteral porsonda nasogástrica, desarrolló un síndrome de realimentación. En niños con parálisis cerebral es fundamental valorar la presencia de factores de riesgo paradesarrollar un síndrome de realimentación, iniciar laalimentación de manera progresiva y monitorizar losiones séricos.(AU)
Refeeding syndrome is a serious and life-threateningcomplication associated with oral, enteral and parenteral nutritional therapy. It appears in severely malnourished patients or in those at risk of malnutrition,such as persons with cerebral palsy. We present the case of an 8-year-old girl with cerebral palsy who was admitted with severe hypoglycemia.After starting enteral nutrition by nasogastric tube, shedeveloped refeeding syndrome. In children with cere-bral palsy, it is essential to assess the presence of riskfactors for refeeding syndrome before starting any nutritional support, and then start feeding progressivelyand monitor serum electrolytes.(AU)
Assuntos
Humanos , Feminino , Criança , Pacientes Internados , Exame Físico , Paralisia Cerebral , Hipoglicemia , Hipofosfatemia , Terapia Nutricional , Transtornos da Nutrição Infantil , Pediatria , Síndrome da RealimentaçãoRESUMO
Refeeding syndrome is a serious and life-threatening complication associated with oral, enteral and parenteral nutritional therapy. It appears in severely malnourished patients or in those at risk of malnutrition, such as persons with cerebral palsy. We present the case of an 8-year-old girl with cerebral palsy who was admitted with severe hypoglycemia. After starting enteral nutrition by nasogastric tube, she developed refeeding syndrome. In children with cerebral palsy, it is essential to assess the presence of risk factors for refeeding syndrome before starting any nutritional support, and then start feeding progressively and monitor serum electrolytes.
