Pulmonary hypertension, heart failure and neutropenia due to diazoxide therapy.
Primary persistent hyperinsulinaemic hypoglycaemia is characterised by clinical symptoms that occur when blood glucose levels drop below the normal range. Diazoxide treatment remains the mainstay of medical therapy. Tolerance of diazoxide is usually excellent, but several side effects of this drug have been described. We present a 4-month-old girl who developed pulmonary hypertension, heart failure and neutropenia during diazoxide therapy. Diazoxide toxicity was suspected and the drug was withdrawn on day 13. During the next 3 days, respiratory and haemodynamic status dramatically improved and she was weaned from mechanical ventilation. Control white blood cell count was 8800 cells/mm(3) and a new echocardiography showed modreduction of pulmonary artificial pressure to 20 mmHg and resolution of atrial and ventricular enlargement. Paediatric physicians should be in mind of pulmonary hypertension, heart failure and neutropenia developing during diazoxide therapy.
Department of Paediatric Intensive Care Unit, Cukurova University, Faculty of Medicine, Adana, Turkey. rdy90@hotmail.com
Dincer
D
Yildizdas
Sevcan
S
Erdem
Osman
O
Küçükosmanoglu
Mustafa
M
Yilmaz
Bilgin
B
Yüksel
D044903:Congenital Hyperinsulinism / Q000188:drug therapy; D003981:Diazoxide / Q000009:adverse effects* / Q000627:therapeutic use; D005260:Female; D006333:Heart Failure / Q000139:chemically induced*; D006801:Humans; D006976:Hypertension, Pulmonary / Q000139:chemically induced*; D007223:Infant; D009503:Neutropenia / Q000139:chemically induced*; D014665:Vasodilator Agents / Q000009:adverse effects* / Q000627:therapeutic use
D014665:Vasodilator Agents; D003981:Diazoxide