Hyperferritinemic sepsis secondary to invasive Toxoplasma gondii in a child with untreated HIV
Background: Untreated human immunodeficiency virus (HIV)-immunosuppressed pediatric patients show high morbidity and mortality from opportunistic infections. Limited cases of hyperferritinemic sepsis have been described in patients with toxoplasmosis.
Case report: We describe the case of a 13-year-old female patient with a history of untreated HIV who presented with hyperferritinemic sepsis secondary to Toxoplasma gondii infection and Pneumocystis jirovecci pneumonia. She received ventilatory support, inotropic drugs, treatment for opportunistic germs, and high-dose corticosteroids, but with unfavorable evolution.
Conclusions: The global approach to sepsis with elevated ferritin guides to using of therapies aimed at neutralizing the severe inflammatory response. A timely diagnosis would allow prompt treatment and minimize complications.
Medienart: |
E-Artikel |
---|
Erscheinungsjahr: |
2023 |
---|---|
Erschienen: |
2023 |
Enthalten in: |
Zur Gesamtaufnahme - year:2023 |
---|---|
Enthalten in: |
Boletin medico del Hospital Infantil de Mexico - (2023) vom: 14. März |
Sprache: |
Englisch |
---|
Beteiligte Personen: |
Domínguez-Rojas, Jesús [VerfasserIn] |
---|
Links: |
---|
Themen: |
Child |
---|
Anmerkungen: |
Date Revised 14.03.2023 published: Print-Electronic Citation Status Publisher |
---|
doi: |
10.24875/BMHIM.22000051 |
---|
funding: |
|
---|---|
Förderinstitution / Projekttitel: |
|
PPN (Katalog-ID): |
NLM354233599 |
---|
LEADER | 01000naa a22002652 4500 | ||
---|---|---|---|
001 | NLM354233599 | ||
003 | DE-627 | ||
005 | 20231226061756.0 | ||
007 | cr uuu---uuuuu | ||
008 | 231226s2023 xx |||||o 00| ||eng c | ||
024 | 7 | |a 10.24875/BMHIM.22000051 |2 doi | |
028 | 5 | 2 | |a pubmed24n1180.xml |
035 | |a (DE-627)NLM354233599 | ||
035 | |a (NLM)36917806 | ||
040 | |a DE-627 |b ger |c DE-627 |e rakwb | ||
041 | |a eng | ||
100 | 1 | |a Domínguez-Rojas, Jesús |e verfasserin |4 aut | |
245 | 1 | 0 | |a Hyperferritinemic sepsis secondary to invasive Toxoplasma gondii in a child with untreated HIV |
264 | 1 | |c 2023 | |
336 | |a Text |b txt |2 rdacontent | ||
337 | |a ƒaComputermedien |b c |2 rdamedia | ||
338 | |a ƒa Online-Ressource |b cr |2 rdacarrier | ||
500 | |a Date Revised 14.03.2023 | ||
500 | |a published: Print-Electronic | ||
500 | |a Citation Status Publisher | ||
520 | |a Background: Untreated human immunodeficiency virus (HIV)-immunosuppressed pediatric patients show high morbidity and mortality from opportunistic infections. Limited cases of hyperferritinemic sepsis have been described in patients with toxoplasmosis | ||
520 | |a Case report: We describe the case of a 13-year-old female patient with a history of untreated HIV who presented with hyperferritinemic sepsis secondary to Toxoplasma gondii infection and Pneumocystis jirovecci pneumonia. She received ventilatory support, inotropic drugs, treatment for opportunistic germs, and high-dose corticosteroids, but with unfavorable evolution | ||
520 | |a Conclusions: The global approach to sepsis with elevated ferritin guides to using of therapies aimed at neutralizing the severe inflammatory response. A timely diagnosis would allow prompt treatment and minimize complications | ||
650 | 4 | |a Journal Article | |
650 | 4 | |a Child | |
650 | 4 | |a Ferritin | |
650 | 4 | |a Hemophagocytic | |
650 | 4 | |a Human immunodeficiency virus | |
650 | 4 | |a Lymphohistiocytosis | |
650 | 4 | |a Sepsis | |
700 | 1 | |a Caute-Lara, Jackeline |e verfasserin |4 aut | |
700 | 1 | |a Caqui-Vilca, Patrick |e verfasserin |4 aut | |
700 | 1 | |a Cruz-Arpi, Mario |e verfasserin |4 aut | |
700 | 1 | |a Martel-Ramírez, Carlos |e verfasserin |4 aut | |
700 | 1 | |a Quispe-Chipana, Miguel |e verfasserin |4 aut | |
700 | 1 | |a Sánchez-Rodríguez, Abel |e verfasserin |4 aut | |
700 | 1 | |a Atamari-Anahui, Noé |e verfasserin |4 aut | |
773 | 0 | 8 | |i Enthalten in |t Boletin medico del Hospital Infantil de Mexico |d 1946 |g (2023) vom: 14. März |w (DE-627)NLM000087467 |x 1665-1146 |7 nnns |
773 | 1 | 8 | |g year:2023 |g day:14 |g month:03 |
856 | 4 | 0 | |u http://dx.doi.org/10.24875/BMHIM.22000051 |3 Volltext |
912 | |a GBV_USEFLAG_A | ||
912 | |a GBV_NLM | ||
951 | |a AR | ||
952 | |j 2023 |b 14 |c 03 |