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

Czech version

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

Newborn Screening for Cystic Fibrosis in the Czech Republic: Results of a Pilot Study

The Occurrence of Inborn Heart Defects and their Prenatal Detection in the Moravian-Silesian Region

The Muscle-bone Relationship in Cystic Fibrosis Patients

Insulin Resistance in Children and Adolescents

Langerhans’ Cell Histiocytosis in Children – Clinical Presentation, Diagnosis and Contemporary Therapeutic Options

Prenatal Corticosteroids and Their Effects on the Fetus and Newborn Infant: Known and Secret

Duchenne Muscular Dystrophy in a Girl

Article was published in

Czech-Slovak Pediatrics

2007 Issue 4