Publication: A Surviving Child from Acute Liver Failure after an Ingestion of Cassia occidentalis Seeds
Issued Date
2021-01-01
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ISSN
14653664
01426338
01426338
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2-s2.0-85102909830
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Mahidol University
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SCOPUS
Bibliographic Citation
Journal of Tropical Pediatrics. Vol.67, No.1 (2021)
Suggested Citation
Songpon Getsuwan, Pornthep Tanpowpong, Satariya Trakulsrichai, Pattana Sornmayura, Suporn Treepongkaruna A Surviving Child from Acute Liver Failure after an Ingestion of Cassia occidentalis Seeds. Journal of Tropical Pediatrics. Vol.67, No.1 (2021). doi:10.1093/tropej/fmaa087 Retrieved from: https://repository.li.mahidol.ac.th/handle/20.500.14594/78788
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Title
A Surviving Child from Acute Liver Failure after an Ingestion of Cassia occidentalis Seeds
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Abstract
Cassia occidentalis toxicity is thought to be uncommon; however, several cases have been described with acute hepatomyoencephalopathy with a high-mortality rate. We report a previously healthy, 2-year-old girl who developed acute liver failure after fresh seed ingestion. Without a specific antidote, we decided to implement supportive measures and medications including lactulose, sodium benzoate and N-Acetylcysteine. The patient also experienced with cardiogenic shock and transient distal renal tubular acidosis, which were all spontaneously resolved. The liver chemistries returned to normal 3 months after the ingestion, without receiving liver assisted device or liver transplantation.