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Successful treatment of a child with fulminant liver failure and coma caused by Amanita phalloides intoxication with albumin dialysis without liver transplantation
Author(s) -
Rubik Jacek,
PietraszekJezierska Elżbieta,
Kamiński Andrzej,
Skarzynska Anna,
Jóźwiak Sergiusz,
Pawłowska Joanna,
Drewniak Tomasz,
Prokurat Sylwester,
Grenda Ryszard,
Kaliciński Piotr
Publication year - 2004
Publication title -
pediatric transplantation
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.457
H-Index - 69
eISSN - 1399-3046
pISSN - 1397-3142
DOI - 10.1111/j.1399-3046.2004.00170.x
Subject(s) - medicine , coma (optics) , liver transplantation , hepatic coma , fulminant , fulminant hepatic failure , dialysis , liver disease , transplantation , surgery , intensive care medicine , physics , optics
FLF is a life‐threatening disease. Hepatic coma exerts dramatic impact on patient survival. At present, LTx is the treatment modality of choice that provides significant improvement in outcome of most patients with FLF. Multiple attempts have been made to reduce mortality and improve the patient's condition. One of the new options is AD – MARS. We present the case of a 11‐yr‐old boy with FLF and hepatic coma who avoided the scheduled LTx because of rapid neurological and biochemical improvement immediately after three MARS sessions.