Food poisoning as a cause of acute liver failure.
We report a 9-year-old girl with cereulide-producing Bacillus cereus food poisoning, who developed fulminant hepatitis, renal and pancreatic insufficiency, shock, and prolonged seizures. She was transferred to our institution for hepatic transplantation before her diagnosis was established. As a result of rapid identification of the microorganism and supportive care, liver transplantation was avoided, and she recovered fully.
Pósfay-Barbe
Klara M
KM
Division of Pediatrics, Department of Pediatrics, Children's Hospital of Geneva, Geneva, Switzerland. Klara.PosfayBarbe@hcuge.ch
Schrenzel
Jacques
J
Frey
Joachim
J
Studer
René
R
Korff
Christian
C
Belli
Dominique C
DC
Parvex
Paloma
P
Rimensberger
Peter C
PC
Schäppi
Michela G
MG
D058186:Acute Kidney Injury / Q000209:etiology; D001409:Bacillus cereus / Q000302:isolation & purification*; D002648:Child; D010188:Exocrine Pancreatic Insufficiency / Q000209:etiology; D005260:Female; D005517:Foodborne Diseases / Q000150:complications* / Q000382:microbiology* / Q000628:therapy; D016908:Gram-Positive Bacterial Infections / Q000150:complications* / Q000382:microbiology* / Q000628:therapy; D006801:Humans; D017114:Liver Failure, Acute / Q000209:etiology*; D012640:Seizures / Q000209:etiology