2024/12/31 by Abdelbari, M., Boughammoura L, Bouguila J +4
#bronchiolite #bronchiolitis #enfant #highbloodpressure #hypertensionartérielle #hypoplasiaoftheabdominalaorta #hypoplasiedel'aorteabdominale #infant
paper · doi:10.71566/pist-rmp-194878
Introduction:high blood pressure is an entitythat is not rare enough in children, it must have an ex- haustive investigation open so as not to miss a serious diagnosis. Results :we reported the observation of a 4-month-old female infant, eutrophic, who was hospitalized for anacute obstructive dyspnea with polypnea, wrestling signs and 90% saturation at ambient air . The restofclinicalexaminationwaswithoutanyparticularityincludingthecardiovascularone. ThechestXray does not show any abnormalities other than bilateral interstitial alveolar syndrom . She was treatedas a severe bronchiolitis . Aggravation onthe respiratorylevelwas noted andtherewere aneed fortheventila- toryassistance ,then aheart failurewas installedwith apermanent and confirmed high blood pressure up tothreatening figures. Cardiac ultrasoundwaswithout anyhelp fordiagnosis. Hormonal analysiswere cor- rect. Thoraco abdominal angioTDMwas requiredto eliminate aneuroblastoma, but revealedthe presence ofseverehypoplasiaoftheentireabdominalaorta,theequilibrationofbloodpressurefiguresnecessitated the use oftriple therapy. the infant died because of a septic shock complicating a nosocomial infection . Conslusion:hypoplasiaofthe abdominal aortais an exceptional pathologyofserious consequence but whobenefitsfromtherapeuticsolutions. thisfactjustifyathoroughinvestigationinfrontofanyarterial hypertension of the child