[[[ Objective: ]]] To report early blood exchange transfusion in malignant pertussis and a favorable clinical outcome. [[[ Setting: ]]] A pediatric intensive care unit in a tertiary hospital in Geneva, Switzerland. [[[ Design: ]]] A descriptive case report. [[[ Patient: ]]] An 8-wk-old girl was diagnosed with malignant pertussis (extreme leukocytosis, seizures, pneumonia, and secondary severe hypoxic respiratory failure associated with pulmonary hypertension). After administration of a one-volume blood exchange transfusion, a rapid decrease in white blood cell count (from 119,000/mm(3) to 36,500/mm(3)) was observed and followed by clinical improvement and favorable outcome despite the initial presence of all described risk factors associated with a high mortality. [[[ Conclusion: ]]] The use of exchange blood transfusion early in the course of the disease might help to prevent a fatal outcome of malignant pertussis.
Early blood exchange transfusion in malignant pertussis: A case report*
악성 백일해에서의 조기 혈액 교환 수혈: 증례 보고*
[Category] 백일해,
[Article Type] journal-article
[Source] pubmed
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