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Peracute Tumor Lysis Syndrome in the Course of Unrecognized Mediastinal Non-Hodgkin’s Lymphoma in Nine-years Old Boy. A Case report


Authors: K. Dlask 1;  J. Mališ 2;  J. Zámečník 3;  J. Gut 4
Authors‘ workplace: Klinika anesteziologie a resuscitace UK 2. LF a FN Motol, Praha přednosta prof. MUDr. K. Cvachovec, CSc. 1;  Klinika dětské hematologie a onkologie UK 2. LF a FN Motol, Praha přednosta prof. MUDr. J. Starý, DrSc. 2;  Ústav patologické anatomie a molekulární biologie UK 2. LF, Praha přednosta prof. MUDr. R. Kodet, CSc. 3;  Dětské oddělení NsP, Česká Lípa primář MUDr. J. Gut 4
Published in: Čes-slov Pediat 2007; 62 (4): 239-244.
Category: Case Report

Overview

Case report of a nine-years old boy who was treated by the family practitioner for sinusitis, eye’s papilla edema and swelling of eyelids and head. The CT examination did not confirmed the suspicious of intracranial tumor. The chest X-ray picture was not performed. After statement pseudotumor cerebri diagnosis the administration of dexamethason was started. The therapy was immediately followed with tumor lysis syndrome (metabolic disturbance with high level of urine acid and hyperkalemia and renal failure). The child was referred to the ICU of University Hospital with the diagnosis of hepatorenal failure. Before the transport the child was intubated and ventilated. At the ICU the immediate cardiopulmonary resuscitation was started but without any success. The pathologists revealed the mediastinal non-Hodgkin lymphoma at the autopsy.

Key words:
sudden death, non-Hodgkin lymphoma


Labels
Neonatology Paediatrics General practitioner for children and adolescents
Topics Journals
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