Alsohime Fahad, AlHoshan Talal, Almojel Faisal, Rezeni Nader A, Temsah Mohamad-Hani
Pediatric Intensive Care Unit, King Khalid University Hospital, Riyadh, SAU.
Pediatric Intensive Care Unit, King Khalid Unversity Hospital, Riyadh, SAU.
Cureus. 2020 Jan 26;12(1):e6775. doi: 10.7759/cureus.6775.
Hypertensive crisis is a deadly complication that should be avoided at all costs, let alone when it is associated with a rare disease, such as polyarteritis nodosa. We present a case of a child who initially came to our hospital with a prolonged high-grade fever responding to antipyretics. Upon follow up, the patient went into a hypertensive crisis, which led to the admission to the Pediatric Intensive Care Unit (PICU). The hypertension was difficult to control until the culprit was revealed. Polyarteritis nodosa was then diagnosed by angiography, which revealed tight stenosis of the right renal artery. Prompt treatment was initiated, and the patient's blood pressure normalized. Our case highlights the importance of detecting such diseases, since it may be easily missed as it usually presents with nonspecific symptoms. Hypertension in children shouldn't be taken lightly and should be investigated promptly. We hope our case report sheds enough light on this issue for other clinicians and researches to identify and prevent later on.
高血压危象是一种必须不惜一切代价避免的致命并发症，更不用说它与诸如结节性多动脉炎这种罕见疾病相关联时了。我们报告一例患儿，该患儿最初因使用退烧药后仍持续高热而前来我院就诊。随访过程中，该患者发生了高血压危象，随后被收入儿科重症监护病房（PICU）。在查明病因之前，高血压难以控制。随后通过血管造影诊断为结节性多动脉炎，结果显示右肾动脉严重狭窄。随即开始进行及时治疗，患者血压恢复正常。我们的病例突出了检测此类疾病的重要性，因为它通常表现为非特异性症状，很容易被漏诊。儿童高血压不容忽视，应及时进行调查。我们希望我们的病例报告能为其他临床医生和研究人员提供足够的线索，以便他们日后能够识别并预防此类情况。
