Seizure-Induced Hemoptysis in a Pediatric Patient.

IF 0.7 Q4 PEDIATRICS Case Reports in Pediatrics Pub Date : 2022-01-01 DOI:10.1155/2022/6059007
Ritika Nangia, Margaret Kahwaty, Ashutosh Sachdeva, Nidhi Kotwal
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Abstract

Hemoptysis can complicate seizures, albeit rarely. This unfamiliar presentation, reported infrequently in adults, can also affect children. This remains a rare clinical entity in pediatrics and we report one such case and its association with sterol carrier protein (SCP) gene mutation. We present a case of a 16-year-old male with recurrent episodes of hemoptysis following seizures. The diagnostic workup for etiology of the hemoptysis was unrevealing and he was ultimately treated for neurogenic pulmonary edema as a diagnosis of exclusion. He achieved complete resolution with supportive care and diuretics. Our case report describes the clinical and radiological presentation and overall management of post-ictal pulmonary hemorrhage and edema in a pediatric patient. In addition, it reports a new finding of possible association with sterol carrier protein (SCP2) carrier status. It also highlights a rare but potentially life-threatening consequence of inadequate seizure control in pediatric patients.

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小儿癫痫性咯血。
咯血可使癫痫发作复杂化,尽管很少。这种不熟悉的表现,在成人中很少报道,也可以影响儿童。这仍然是一个罕见的儿科临床实体,我们报告一个这样的情况,其与甾醇载体蛋白(SCP)基因突变的关系。我们提出一个16岁的男性与反复发作的咯血后癫痫。咯血的病因诊断没有明确,他最终接受了神经源性肺水肿的排除诊断。他在支持性护理和利尿剂治疗下完全康复。我们的病例报告描述了临床和放射表现和整体管理的产后肺出血和水肿的儿科患者。此外,它还报道了一个可能与甾醇载体蛋白(SCP2)载体状态相关的新发现。它还强调了儿科患者癫痫发作控制不足的一种罕见但可能危及生命的后果。
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