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Food Protein-Induced Enterocolitis Syndrome Causing Hypovolemic Shock and Methemoglobinemia
Joint Authors
Malin, Stefan W.
Lutfi, Riad
Friedman, Matthew L.
Teagarden, Alicia M.
Source
Issue
Vol. 2018, Issue 2018 (31 Dec. 2018), pp.1-4, 4 p.
Publisher
Hindawi Publishing Corporation
Publication Date
2018-04-30
Country of Publication
Egypt
No. of Pages
4
Main Subjects
Abstract EN
A 5-week-old previously healthy male presented with vomiting and diarrhea leading to hypovolemic shock and profound metabolic acidosis.
He was subsequently found to have severe methemoglobinemia.
The acidosis and shock improved with fluid resuscitation and methemoglobinemia was successfully treated with methylene blue.
An extensive workup, including evaluations for infectious and metabolic etiologies, was unremarkable.
However, a detailed dietary history revealed a recent change in diet, supporting a diagnosis of food protein-induced enterocolitis syndrome (FPIES).
We present this case to highlight the importance of considering FPIES in an infant with vomiting and diarrhea, in the setting of a recent dietary change, leading to profound dehydration, metabolic acidosis, and methemoglobinemia.
Diagnosis of FPIES, although difficult to make and one of exclusion, can be potentially life-saving.
American Psychological Association (APA)
Malin, Stefan W.& Lutfi, Riad& Friedman, Matthew L.& Teagarden, Alicia M.. 2018. Food Protein-Induced Enterocolitis Syndrome Causing Hypovolemic Shock and Methemoglobinemia. Case Reports in Critical Care،Vol. 2018, no. 2018, pp.1-4.
https://search.emarefa.net/detail/BIM-1141518
Modern Language Association (MLA)
Malin, Stefan W.…[et al.]. Food Protein-Induced Enterocolitis Syndrome Causing Hypovolemic Shock and Methemoglobinemia. Case Reports in Critical Care No. 2018 (2018), pp.1-4.
https://search.emarefa.net/detail/BIM-1141518
American Medical Association (AMA)
Malin, Stefan W.& Lutfi, Riad& Friedman, Matthew L.& Teagarden, Alicia M.. Food Protein-Induced Enterocolitis Syndrome Causing Hypovolemic Shock and Methemoglobinemia. Case Reports in Critical Care. 2018. Vol. 2018, no. 2018, pp.1-4.
https://search.emarefa.net/detail/BIM-1141518
Data Type
Journal Articles
Language
English
Notes
Includes bibliographical references
Record ID
BIM-1141518