Hypovolemic shock due to severe gastrointestinal bleeding in a child taking an herbal syrup
We report the case of a 4-years-old boy who was admitted with hypovolemic shock due to a severe gastrointestinal bleeding. The esophagogastroduodenoscopy (EGDS) showed hiatus hernia, erosions and ulcerations of the lower esophagus, possibly due to a gastroesophageal reflux, and a small duodenal eros...
| Main Authors: | , , , , , , , , |
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| Format: | Article |
| Language: | English |
| Published: |
Istituto Superiore di Sanità
2011-01-01
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| Series: | Annali dell'Istituto Superiore di Sanità |
| Subjects: | |
| Online Access: | http://www.scielosp.org/scielo.php?script=sci_arttext&pid=S0021-25712011000300007&lng=en&tlng=en |
| _version_ | 1818487818039590912 |
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| author | Paola Angela Moro Valerio Flacco Federica Cassetti Valentina Clementi Maria Laura Colombo Giulia Maria Chiesa Francesca Menniti-Ippolito Roberto Raschetti Carmela Santuccio |
| author_facet | Paola Angela Moro Valerio Flacco Federica Cassetti Valentina Clementi Maria Laura Colombo Giulia Maria Chiesa Francesca Menniti-Ippolito Roberto Raschetti Carmela Santuccio |
| author_sort | Paola Angela Moro |
| collection | DOAJ |
| description | We report the case of a 4-years-old boy who was admitted with hypovolemic shock due to a severe gastrointestinal bleeding. The esophagogastroduodenoscopy (EGDS) showed hiatus hernia, erosions and ulcerations of the lower esophagus, possibly due to a gastroesophageal reflux, and a small duodenal erosion. The child was previously healthy and he had never shown any symptoms related to this condition. The only product taken by the child in the previous days was a syrup containing several herbs, among which Filipendula ulmaria (L.) Maxim. and Salix spp. (known to contain salicylates), marketed as food and prescribed by his paediatrician to treat a mild cold accompanied by fever. Quali-quantitative analysis confirmed the presence of salicylates in the syrup. Naranjo algorithm showed a probable correlation between the onset of symptoms and the consumption of the herbal remedy. The child recovered after receiving intensive care. The product was withdrawn from Italian market. |
| first_indexed | 2024-12-10T16:42:55Z |
| format | Article |
| id | doaj.art-3fb3448d39864085b7b26ceea7433a78 |
| institution | Directory Open Access Journal |
| issn | 0021-2571 |
| language | English |
| last_indexed | 2024-12-10T16:42:55Z |
| publishDate | 2011-01-01 |
| publisher | Istituto Superiore di Sanità |
| record_format | Article |
| series | Annali dell'Istituto Superiore di Sanità |
| spelling | doaj.art-3fb3448d39864085b7b26ceea7433a782022-12-22T01:41:09ZengIstituto Superiore di SanitàAnnali dell'Istituto Superiore di Sanità0021-25712011-01-0147327828310.4415/ANN_11_03_07S0021-25712011000300007Hypovolemic shock due to severe gastrointestinal bleeding in a child taking an herbal syrupPaola Angela Moro0Valerio Flacco1Federica Cassetti2Valentina Clementi3Maria Laura Colombo4Giulia Maria Chiesa5Francesca Menniti-Ippolito6Roberto Raschetti7Carmela Santuccio8Centro AntiveleniDipartimento PediatricoCentro AntiveleniCentro AntiveleniUniversità di TorinoUniversità degli Studi di MilanoIstituto Superiore di SanitàIstituto Superiore di SanitàUnità di FarmacovigilanzaWe report the case of a 4-years-old boy who was admitted with hypovolemic shock due to a severe gastrointestinal bleeding. The esophagogastroduodenoscopy (EGDS) showed hiatus hernia, erosions and ulcerations of the lower esophagus, possibly due to a gastroesophageal reflux, and a small duodenal erosion. The child was previously healthy and he had never shown any symptoms related to this condition. The only product taken by the child in the previous days was a syrup containing several herbs, among which Filipendula ulmaria (L.) Maxim. and Salix spp. (known to contain salicylates), marketed as food and prescribed by his paediatrician to treat a mild cold accompanied by fever. Quali-quantitative analysis confirmed the presence of salicylates in the syrup. Naranjo algorithm showed a probable correlation between the onset of symptoms and the consumption of the herbal remedy. The child recovered after receiving intensive care. The product was withdrawn from Italian market.http://www.scielosp.org/scielo.php?script=sci_arttext&pid=S0021-25712011000300007&lng=en&tlng=enfitoterapiasalicilatieffetti avversiemorragia gastrointestinaleterapie complementarimedicina naturale |
| spellingShingle | Paola Angela Moro Valerio Flacco Federica Cassetti Valentina Clementi Maria Laura Colombo Giulia Maria Chiesa Francesca Menniti-Ippolito Roberto Raschetti Carmela Santuccio Hypovolemic shock due to severe gastrointestinal bleeding in a child taking an herbal syrup Annali dell'Istituto Superiore di Sanità fitoterapia salicilati effetti avversi emorragia gastrointestinale terapie complementari medicina naturale |
| title | Hypovolemic shock due to severe gastrointestinal bleeding in a child taking an herbal syrup |
| title_full | Hypovolemic shock due to severe gastrointestinal bleeding in a child taking an herbal syrup |
| title_fullStr | Hypovolemic shock due to severe gastrointestinal bleeding in a child taking an herbal syrup |
| title_full_unstemmed | Hypovolemic shock due to severe gastrointestinal bleeding in a child taking an herbal syrup |
| title_short | Hypovolemic shock due to severe gastrointestinal bleeding in a child taking an herbal syrup |
| title_sort | hypovolemic shock due to severe gastrointestinal bleeding in a child taking an herbal syrup |
| topic | fitoterapia salicilati effetti avversi emorragia gastrointestinale terapie complementari medicina naturale |
| url | http://www.scielosp.org/scielo.php?script=sci_arttext&pid=S0021-25712011000300007&lng=en&tlng=en |
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