Cardiac arrest and pulmonary hypertension in scurvy: a case report


Journal article


T. Dean, N. Kaushik, Sharron Williams, Matthew Zinter, P. Kim
Pulmonary Circulation, 2018

Semantic Scholar DOI PubMedCentral PubMed
Cite

Cite

APA   Click to copy
Dean, T., Kaushik, N., Williams, S., Zinter, M., & Kim, P. (2018). Cardiac arrest and pulmonary hypertension in scurvy: a case report. Pulmonary Circulation.


Chicago/Turabian   Click to copy
Dean, T., N. Kaushik, Sharron Williams, Matthew Zinter, and P. Kim. “Cardiac Arrest and Pulmonary Hypertension in Scurvy: a Case Report.” Pulmonary Circulation (2018).


MLA   Click to copy
Dean, T., et al. “Cardiac Arrest and Pulmonary Hypertension in Scurvy: a Case Report.” Pulmonary Circulation, 2018.


BibTeX   Click to copy

@article{t2018a,
  title = {Cardiac arrest and pulmonary hypertension in scurvy: a case report},
  year = {2018},
  journal = {Pulmonary Circulation},
  author = {Dean, T. and Kaushik, N. and Williams, Sharron and Zinter, Matthew and Kim, P.}
}

Abstract

We report a case of a six-year-old boy who presented after a cardiac arrest, likely due to a pulmonary hypertensive crisis in the setting of vitamin C deficiency. After initially presenting with subacute multifocal bone lesions of unknown etiology, he experienced a pulseless electrical activity cardiac arrest while undergoing a diagnostic procedure under sedation. During his post-arrest convalescence, he developed persistent tachycardia and peripheral edema. An echocardiogram revealed findings consistent with significant pulmonary arterial hypertension, which was found to be responsive to inhaled nitric oxide. Laboratory investigation revealed undetectable levels of vitamin C, resulting in disclosure of a history of severe restrictive eating behavior. With ascorbate supplementation, the patient’s pulmonary vasodilators were weaned and discontinued. Given his complete recovery, we suspect that the cardiac arrest and pulmonary hypertension were the consequence of a rare, but reversible, complication of scurvy.


Share



Follow this website


You need to create an Owlstown account to follow this website.


Sign up

Already an Owlstown member?

Log in