Successful treatment of a child with fulminant liver failure and coma caused by Amanita phalloides intoxication with albumin dialysis without liver transplantation.
FLF is a life-threatening disease. Hepatic coma exerts dramatic impact on patient survival. At present, LTx is the treatment modality of choice that provides significant improvement in outcome of most patients with FLF. Multiple attempts have been made to reduce mortality and improve the patient's condition. One of the new options is AD - MARS. We present the case of a 11-yr-old boy with FLF and hepatic coma who avoided the scheduled LTx because of rapid neurological and biochemical improvement immediately after three MARS sessions.
Rubik
Jacek
J
Department of Nephrology and Kidney Transplantation, Children's Memorial Health Institute, Warsaw, Poland. jacek.rubik@wp.pl
Pietraszek-Jezierska
Elzbieta
E
Kamiński
Andrzej
A
Skarzynska
Anna
A
Jóźwiak
Sergiusz
S
Pawłowska
Joanna
J
Drewniak
Tomasz
T
Prokurat
Sylwester
S
Grenda
Ryszard
R
Kaliciński
Piotr
P
D000545:Amanita; D002648:Child; D006501:Hepatic Encephalopathy / Q000209:etiology / Q000628:therapy*; D006801:Humans; D016031:Liver Transplantation; D008297:Male; D009145:Mushroom Poisoning / Q000628:therapy*; D016060:Sorption Detoxification