Preview

General Reanimatology

Advanced search

Sepsis in a Child with Foreign Magnetic Bodies: Clinical Case

https://doi.org/10.15360/1813-9779-2018-4-15-20

Abstract

The purpose of the study. To describe a clinical case of sepsis in a child due to accidental ingestion of magnetic objects.

Materials and methods. Medical records of a 3-year-old patient were analyzed. Clinical presentation of diffuse purulent peritonitis was found at admission. Sepsis was diagnosed according to age-specific criteria, laboratory test findings, evidence of infection and organ dysfunction.

Results. During the surgery, diffuse fecal peritonitis was found, which had been caused by 9 unidentified magnetic foreign objects found in the intestinal lumen. The postoperative period had a severe course accompanied by developing cardiovascular, respiratory, and intestinal multiple organ failure..

Conclusion. In young children, foreign magnetic bodies can damage the gastrointestinal tract.

About the Author

R. V. Bocharov
Emergency Medical Care Hospital No. 2
Russian Federation

Roman V. Bocharov

72 Koshevogo Str., Tomsk 634021


References

1. Barskaya M.A., Zavyalkin V.A., Varlamov A.V., Kuzmin A.I., Rodionov V.G., Timashev I.V., Busov N.A., Terekhina M.I. Diagnostics and treatment of gastrointestinal tract foreign bodies in children. Sovremennye Problemy Nauki i Obrazovaniya. 2018; 2: 34. [In Russ.]

2. Donskoi D.V., Ionov D.V., Korovin S.A., Vorobyev V.V., Solovova V.P., Tumanyan G.T., Sokolov Yu.Yu. Classification and treatment of foreign bodies in the gastrointestinal tract. Detskaya Khirurgiya. 2017; 21 (3): 127-130. DOI: 10.18821/1560-9510-2017-21-3-127-130. [In Russ.]

3. Babaeva A.A. Multiple alien bodies of the gastrointestinal tract (clinical supervision). Vestnik Novykh Meditsinskikh Tekhnologii (elektronnoe izdanie). 2014; 1: 105. DOI: 10.12737/6009. [In Russ.]

4. Si X., Du B., Huang L. Multiple magnetic foreign bodies causing severe digestive tract injuries in a child. Case Rep. Gastroenterol. 2016; 10 (3): 720-727. DOI: 10.1159/000450538. PMID: 28100992

5. Averyn V.I., Halubitski S.B., Zapalianski A.V., Valiok L.V., Nikulenkov A.V. Diagnostics and medical tactics in magnetic foreign bodies gastrointestinal tract in children. Novosti Khirurgii. 2017; 25 (3): 317-324. DOI: 10.18484/2305-0047.2017.3.317. [In Russ.]

6. Ionov D.V., Tumanyan G.T., Lisyuk N.P. Rare gastrointestinal foreign bodies in children. Endoskopicheskaya Khirurgiya. 2011; 17 (3): 51-53. [In Russ.]

7. Grona V.N., Buslaev A.I., Kolodyaznyi R.P., Cherkun A.V., Vakulenko M.V. Magnets aggressive and dangerous foreign bodies of the digestive tract in children. Zdorovye Rebenka. 2013; 47 (4): 119-122. [In Russ.]

8. Razumovsky A.Yu., Smirnov A.N., Ignatyev R.O., Khalafov R.V., Tikhomirova L.Yu., Kholostova V.V. The magnetic foreign bodies of the gastrointestinal tract in children. Khirurgiia (Mosk.). 2012; 9: 64-69. PMID: 23222984. [In Russ.]

9. Butterworth J., Feltis B. Toy magnetic ingestion in children: revising the algorithm. J. Pediatr. Surg. 2007; 42 (12): e3-e5. DOI: 10.1016/j.jpedsurg.2007.09.001. PMID: 18082689

10. Katsupeyev V.B., Chepurnoi M.G., Vetryanskaya V.V., Arutyunov A.V., Dmitriev S.G., Kulakov A.A. A rare case of peritonitis in a child. Detskaya Khirurgiya. 2012; 4: 56-57. [In Russ.]

11. Arana A., Hauser B., Hachimi-Idrissi S., Vandenplas Y. Management of ingested foreign bodies in childhood and review of literature. Eur. J. Pediatr. 2001; 160 (8): 468-472. DOI: 10.1007/s004310100788. PMID: 11548183

12. Wong H.H., Phillips B.A. Opposites attract: a case of magnet ingestion. CJEM. 2009; 11 (5): 493-495. DOI: 10.1017/S1481803500011696. PMID: 19788794

13. Ranieri V., Rubenfeld G.D., Thompson B., Ferguson N.D., Caldwell E., Fan E., Camporota L., Slutsky A.S., Antonelli M., Anzueto A., Beale R., Brochard L., Brower R., Esteban A., Gattinoni L., Rhodes A., Vincent J.L., Bersten A., Needham D., Pesenti A. Acute respiratory distress syndrome: the Berlin Definition. JAMA. 2012; 307 (23): 2526-2533. DOI: 10.1001/jama.2012.5669. PMID: 22797452

14. De Luca D., Piastra M., Chidini G., Tissieres P., Calderini E., Essouri S., Medina Villanueva A., Vivanco Allende A., Pons-Odena M., Perez-Baena L., Hermon M., Tridente A., Conti G., Antonelli M., Kneyber M.; Respiratory Section of the European Society for Pediatric Neonatal Intensive Care (ESPNIC). The use of the Berlin definition for acute respiratory distress syndrome during infancy and early childhood: multicenter evaluation and expert consensus. Intensive Care Med. 2013; 39 (12): 2083-2091. DOI: 10.1007/s00134-013-3110-x. PMID: 24100946

15. Aleksandrovich A.Yu., Pshenisnov K.V., Gordeyev V.I. Intensive care of critical states in children. Sankt-Peterburg: izd-vo N-L; 2014: 976. ISBN 978-5-94869-164-0

16. Khemani R.G., Wilson D.F., Esteban A., Ferguson N.D. Evaluating the Berlin Definition in pediatric ARDS. Intensive Care Med. 2013; 39 (12): 2213-2216. DOI: 10.1007/s00134-013-3094-6. PMID: 24100944

17. Goldstein B., Giroir B., Randolph A.; International Consensus Conference on Pediatric Sepsis. International pediatric sepsis consensus conference: definitions for sepsis and organ dysfunction in pediatrics. Pediatr. Crit. Care Med. 2005; 6 (1): 2-8. DOI: 10.1097/01.PCC.0000149131.72248.E6. PMID: 15636651

18. Dellinger R.P., Levy M.M., Rhodes A., Annane D., Gerlach H., Opal S.M., Sevransky J.E., Sprung C.L., Douglas I.S., Jaeschke R., Osborn T.M., Nunnally M.E., Townsend S.R., Reinhart K., Kleinpell R.M., Angus D.C., Deutschman C.S., Machado F.R., Rubenfeld G.D., Webb S.A., Beale R.J., Vincent J.L., Moreno R.; Surviving Sepsis Campaign Guidelines Committee including the Pediatric Subgroup. Surviving sepsis campaign: international guidelines for management of severe sepsis and septic shock: 2012. Crit. Care Med. 2013; 41 (2): 580-637. DOI: 10.1097/CCM.0b013e31827e83af. PMID: 23353941


Review

For citations:


Bocharov R.V. Sepsis in a Child with Foreign Magnetic Bodies: Clinical Case. General Reanimatology. 2018;14(4):15-20. https://doi.org/10.15360/1813-9779-2018-4-15-20

Views: 744


Creative Commons License
This work is licensed under a Creative Commons Attribution 4.0 License.


ISSN 1813-9779 (Print)
ISSN 2411-7110 (Online)