scholarly journals COVID-19 and Liver Damage: Narrative Review and Proposed Clinical Protocol for Critically ill Pediatric Patients

Clinics ◽  
2020 ◽  
Vol 75 ◽  
Author(s):  
Michele Luglio ◽  
Uenis Tannuri ◽  
Werther Brunow de Carvalho ◽  
Karina Lucio de Medeiros Bastos ◽  
Isadora Souza Rodriguez ◽  
...  
Author(s):  
Michele Luglio ◽  
Uenis Tannuri ◽  
Werther Brunow de Carvalho ◽  
Maria Fernanda Badue Pereira ◽  
Isadora Souza Rodrigues ◽  
...  

Coronavirus disease 2019 (COVID-19) has become an important cause critical care admission worldwide. In the context of newly described multisystem inflammatory syndrome temporally related to SARS-CoV-2 (PIM-TS), the question of liver compromise came into evidence. Our group summarized a case series of 6 critically ill COVID-19 pediatric patients that presented some degree of liver damage, as demonstrated by liver and/or canalicular enzymes elevation, a yet not fully explored characteristic of the infection in the pediatric patient, that may indicate a more severe progression. Observations regarding the role of systemic inflammatory response can be taken from the described cases.


2008 ◽  
Vol 9 (5) ◽  
pp. 490-496 ◽  
Author(s):  
Angela T. Wratney ◽  
Daniel Kelly Benjamin ◽  
Anthony D. Slonim ◽  
James He ◽  
Donna S. Hamel ◽  
...  

2020 ◽  
Author(s):  
Rachel J Williams ◽  
Samantha L. Wood

Abnormalities of serum glucose in pediatric patients are commonly encountered in the emergency department and represent an acute threat to life and neurologic function. Rapidly identifying and aggressively treating hyperglycemia with diabetic ketoacidosis and hypoglycemia are critical to ensure the best possible outcome. This review will guide the emergency provider in the identification, resuscitation, workup, and disposition of these critically ill patients. This review contains 6 figures, 13 tables, and 50 reviews. Key Words: Cerebral edema, diabetic ketoacidosis, hyperglycemia, hypoglycemia


2021 ◽  
Vol Publish Ahead of Print ◽  
Author(s):  
Enid E. Martinez ◽  
Hongxing Dang ◽  
Jennifer Franks ◽  
Charles G. Callif ◽  
Robert C. Tasker ◽  
...  

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