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Pulmonary Hypertensive Crisis During General Anesthesia in a 3-Year-Old Autistic Boy With Undiagnosed Scurvy, Undergoing Cardiac Catheterization: A Case Report.
- Source :
-
A&A practice [A A Pract] 2019 Nov 15; Vol. 13 (10), pp. 379-381. - Publication Year :
- 2019
-
Abstract
- Pulmonary hypertension in children is commonly caused by underlying cardiac and pulmonary disease. Within the past 10 years, scurvy has been identified as a cause for pulmonary hypertension. We describe the case of a 3-year-old autistic boy with undiagnosed scurvy who was scheduled for cardiac catheterization. Immediately after induction, the patient became hemodynamically unstable, which worsened with administration of nitrous oxide. Cardiac catheterization revealed pulmonary hypertension, which dramatically improved with administration of vitamin C. Anesthesiologists should be aware that scurvy is more common than previously thought, even in developed countries and can cause unexpected circulatory collapse from pulmonary hypertensive crisis.
- Subjects :
- Anesthesia, General adverse effects
Ascorbic Acid therapeutic use
Cardiac Catheterization
Child, Preschool
Humans
Hypertension, Pulmonary drug therapy
Male
Scurvy drug therapy
Scurvy etiology
Treatment Outcome
Autistic Disorder complications
Hypertension, Pulmonary chemically induced
Nitrous Oxide adverse effects
Scurvy diagnosis
Subjects
Details
- Language :
- English
- ISSN :
- 2575-3126
- Volume :
- 13
- Issue :
- 10
- Database :
- MEDLINE
- Journal :
- A&A practice
- Publication Type :
- Academic Journal
- Accession number :
- 31567273
- Full Text :
- https://doi.org/10.1213/XAA.0000000000001087