Food Protein-Induced Enterocolitis Syndrome Causing Hypovolemic Shock and Methemoglobinemia
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...
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| Main Authors: | , , , |
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| Format: | Article |
| Language: | English |
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Wiley
2018-01-01
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| Series: | Case Reports in Critical Care |
| Online Access: | http://dx.doi.org/10.1155/2018/1903787 |
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| _version_ | 1849690816740589568 |
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| author | Stefan W. Malin Riad Lutfi Matthew L. Friedman Alicia M. Teagarden |
| author_facet | Stefan W. Malin Riad Lutfi Matthew L. Friedman Alicia M. Teagarden |
| author_sort | Stefan W. Malin |
| collection | DOAJ |
| description | 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. |
| format | Article |
| id | doaj-art-ed89ead1a97d4aada352ddd2c70d27ea |
| institution | DOAJ |
| issn | 2090-6420 2090-6439 |
| language | English |
| publishDate | 2018-01-01 |
| publisher | Wiley |
| record_format | Article |
| series | Case Reports in Critical Care |
| spelling | doaj-art-ed89ead1a97d4aada352ddd2c70d27ea2025-08-20T03:21:12ZengWileyCase Reports in Critical Care2090-64202090-64392018-01-01201810.1155/2018/19037871903787Food Protein-Induced Enterocolitis Syndrome Causing Hypovolemic Shock and MethemoglobinemiaStefan W. Malin0Riad Lutfi1Matthew L. Friedman2Alicia M. Teagarden3Department of Pediatrics, Indiana University School of Medicine, Indianapolis, IN, USADivision of Pediatric Critical Care, Department of Pediatrics, Indiana University School of Medicine, Indianapolis, IN, USADivision of Pediatric Critical Care, Department of Pediatrics, Indiana University School of Medicine, Indianapolis, IN, USADivision of Pediatric Critical Care, Department of Pediatrics, Indiana University School of Medicine, Indianapolis, IN, USAA 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.http://dx.doi.org/10.1155/2018/1903787 |
| spellingShingle | Stefan W. Malin Riad Lutfi Matthew L. Friedman Alicia M. Teagarden Food Protein-Induced Enterocolitis Syndrome Causing Hypovolemic Shock and Methemoglobinemia Case Reports in Critical Care |
| title | Food Protein-Induced Enterocolitis Syndrome Causing Hypovolemic Shock and Methemoglobinemia |
| title_full | Food Protein-Induced Enterocolitis Syndrome Causing Hypovolemic Shock and Methemoglobinemia |
| title_fullStr | Food Protein-Induced Enterocolitis Syndrome Causing Hypovolemic Shock and Methemoglobinemia |
| title_full_unstemmed | Food Protein-Induced Enterocolitis Syndrome Causing Hypovolemic Shock and Methemoglobinemia |
| title_short | Food Protein-Induced Enterocolitis Syndrome Causing Hypovolemic Shock and Methemoglobinemia |
| title_sort | food protein induced enterocolitis syndrome causing hypovolemic shock and methemoglobinemia |
| url | http://dx.doi.org/10.1155/2018/1903787 |
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