Exchange transfusion as a treatment strategy in Severe Pertussis with Hyperleukocytosis in an infant -A Case Report
Journal Title: Journal Of Pediatric Critical Care - Year 2019, Vol 6, Issue 4
Abstract
Hyperleukocytosis in pertussis has a correlation with disease severity. We describe a 5-week-old infant with severe pertussis and hyperleukocytosis requiring mechanical ventilation. Baby developed refractory hypoxemia. Two cycles of exchange transfusion were done on different occasions. Exchange transfusion resulted in signifi cant improvement in oxygenation and hemodynamic parameters. Exchange transfusion is a viable treatment option in pertussis hyperleukocytosis complicated by refractory hypoxemia or persistent features of Systemic Infl ammatory Response Syndrome.
Authors and Affiliations
Abdul Rauf, Anil Sachdev, Dhiren Gupta
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