Anaphylactic shock in children is a potentially fatal medical emergency that requires prompt emergency care and treatment.
Recently, the Pediatric Center of Bach Mai Hospital has received numerous cases of children admitted with anaphylaxis, threatening their lives.
Patient LAH (born in 2017, Ha Giang ) was transferred from a private hospital in a condition of high fever, infectious rash, generalized itching, fatigue, epigastric pain, shortness of breath, rapid heart rate, and abdominal distension.
Upon examination and questioning, the doctors learned that five days prior to admission, the patient had a dry cough but no fever, and the family had self-medicated with antibiotics, cough medicine, and anti-inflammatory drugs.
The family bought dozens of different medications for the child without consulting a doctor. After taking the medication for one day, the patient developed abdominal pain, a fever of nearly 38 degrees Celsius, itching, and a rash all over the body. The family then gave the child more anti-allergy medication, but it didn't help; the child developed more red bumps, the itching worsened, and the abdominal pain became severe.
 |
| Doctors from the Pediatric Center – Bach Mai Hospital examine children undergoing treatment at the Center. |
The family took him to a nearby hospital for treatment, but his condition did not improve, so he was transferred to Bach Mai Hospital.
At the Pediatric Center, the patient underwent a clinical examination and was ordered several tests such as blood biochemistry, blood gas analysis, and basic coagulation tests. The patient was diagnosed with grade 2 anaphylaxis, suspected to be due to drug allergy, including several antibiotics, expectorants, anti-inflammatory drugs, anti-allergics, and some unlabeled tablets.
Fortunately, the patient was immediately treated according to the pediatric anaphylaxis protocol at the lower-level hospital. However, due to the risk of developing phase 2 shock and the child remaining in a very critical condition, the patient was transferred to the Pediatric Center - Bach Mai Hospital for further treatment.
After more than a week of treatment at the Pediatric Center, the patient has passed the critical stage and is showing positive signs of improvement, gradually recovering their health.
Anaphylaxis in children is an immediate hypersensitivity reaction of the body to the introduction of an allergen (medicines, food, etc.). It is a medical emergency that requires rapid diagnosis, emergency care, and prompt treatment to protect the child's life.
The clinical manifestations of anaphylaxis are diverse and affect many organs, including: Respiratory (nasal congestion, sneezing, laryngeal edema, dyspnea, bronchospasm, respiratory muscle spasms, apnea, etc.), Cardiovascular (tachycardia, hypotension, arrhythmias, cardiac arrest, etc.), Neurological (chills, sweating, fever, headache, dizziness, convulsions, coma, agitation, tremors, fainting, etc.), Gastrointestinal (abdominal pain, nausea, urinary and fecal incontinence, bloody stools), and Dermatological (urticaria, erythema, itching).
Parents, teachers, caregivers, schools, and families need to properly manage the sources of food, medicine, and chemicals for children.
Never buy medicine for your children without a prescription from a specialist doctor at a medical facility, keep them away from chemicals, prevent them from playing in environments with insects, and strictly manage their food and drink intake.
If you notice any unusual symptoms in your child, take them to the nearest medical facility immediately for examination.
Comment (0)