A Surviving Child from Acute Liver Failure after an Ingestion of Cassia occidentalis Seeds.

Abstract:

:Cassia occidentalis toxicity is thought to be uncommon; however, several cases have been described with acute hepatomyoencephalopathy with a high-mortality rate. We report a previously healthy, 2-year-old girl who developed acute liver failure after fresh seed ingestion. Without a specific antidote, we decided to implement supportive measures and medications including lactulose, sodium benzoate and N-acetylcysteine. The patient also experienced with cardiogenic shock and transient distal renal tubular acidosis, which were all spontaneously resolved. The liver chemistries returned to normal 3 months after the ingestion, without receiving liver assisted device or liver transplantation.

journal_name

J Trop Pediatr

authors

Getsuwan S,Tanpowpong P,Trakulsrichai S,Sornmayura P,Treepongkaruna S

doi

10.1093/tropej/fmaa087

subject

Has Abstract

pub_date

2020-11-23 00:00:00

eissn

0142-6338

issn

1465-3664

pii

5998955

pub_type

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