Cardiac failure in a child with tuberculous meningitis as a complication of Paroxysmal sympathetic hyperactivity
Makaleler > Tam Makale · 2022
Yazarlar: Pınar Yazıcı Özkaya, Eşe Eda Turanlı, Hatice Feray Arı, Serap Kurt, Bülent KARAPINAR
The Turkish Journal of Pediatrics, Uluslararası, Wos, 2022, cilt 64, ss 381-384
DOI: 10.24953/turkjped.2020.3609
Özet
BACKGROUND: Paroxysmal sympathetic hyperactivity (PSH) is a disorder due to the loss of regulation of autonomic activity. The most common condition predisposing to the development of PSH is traumatic brain injury (TBI), followed by anoxic brain injury, stroke, tumors, and infections. Awareness about the condition and early recognition is important to avoid life threatening complications. CASE: We report a 4-year-old child with tuberculous meningitis with symptoms of PSH who developed cardiac failure. PSH episodes were treated with beta blocker, benzodiazepine, morphine, dexmedetomidine, baclofen, and tizanidine. Three weeks after readmission PSH episodes decreased and the patient was transferred to the general ward. CONCLUSIONS: PSH assessment tool has benefits such as monitoring the patient, evaluating response to treatment and early diagnosing PSH patients.