A case report of a 4-year-old child with glucose-6-phosphate dehydrogenase deficiency: An evidence based approach to nutritional management

Pinto, Alex; MacDonald, Anita; Cleto, Esmeralda; Almeida, Manuela Ferreira de; Ramos, Paula Cristina; Rocha, Júlio César

doi:10.24953/turkjped.2017.02.012

Cited by 1 publication

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References 9 publications

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“…Splenectomy is not recommended for therapy in G6PD. 5,11 There is still some limitation in our approach for this patient. In our case, we did not assess the mother's G6PD level and did not assess the G6PD gene for any possible mutation using molecular analysis.…”

Section: Case Reportmentioning

confidence: 99%

“…1 The most common of caused hemolytic in G6PD deficiency by excessive ingestion of fava bean (favism) as an effect of some toxic items of fava beans, for instance, divicine, isouramil, and convicine. 5 Moreover, the others cause of hemolytic in G6PD as induced by the drug of malaria and infectioninduced hemolytic. 1 This report is aimed to describe the diagnosis and treatment of a child who appears with acute hemolytic anemia due to favism.…”

Section: Introductionmentioning

confidence: 99%

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A 5-year-old child with hemolytic anemia caused by glucose-6-phosphate dehydrogenase deficiency: a case report

2021

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Introduction: Glucose-6-phosphate dehydrogenase (G6PD) is an enzyme that plays an essential role in the human body cell. It is found in the cytoplasm of cells and functions to prevent cellular damage from reactive oxygen species. G6PD deficiency can be highly variable in its clinical presentation. It can cause acute or chronic hemolytic anemia and hyperbilirubinemia. Severe hemolytic can cause mortality in children. So, it is crucial to be aware during the diagnosis of hemolytic anemia at any age. The hemolytic occurred is usually precipitated by exposure to medication or intake of fava bean. This report is aimed to describe the diagnosis and treatment of a child who appears with acute hemolytic anemia due to favism.Case description: A 5-year-old boy came to the emergency department with a chief complaint of pale and fatigue since a day before admission in PKU Muhammadiyah Gamping Hospital. No family history of hemolytic anemia or parental consanguinity. He appeared icteric and with severe anemia. We found that he consumed fava beans twelve hours prior to the onset of the symptoms was reported. The laboratory findings were as follows: Hb 4.9 g/dl, total bilirubin 6.17 mg/dl, indirect bilirubin 5.49 mg/dl and a negative Coomb’s test result then obtained. The patient then is transfused with PRC, and the level of Hb became 9.2 g/dl and total bilirubin 0.2 mg/dl. The blood smear result was met hemolytic anemia and bacterial infection. The level of G6PD result obtained four days after was low, 7.5 U/gr Hb (10.0-14.2).Conclusion: The severe hemolytic anemia in the patient was proven caused by G6PD deficiency.

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Section: Case Reportmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

A 5-year-old child with hemolytic anemia caused by glucose-6-phosphate dehydrogenase deficiency: a case report

2021

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A case report of a 4-year-old child with glucose-6-phosphate dehydrogenase deficiency: An evidence based approach to nutritional management

Abstract: Nutritional management is crucial in preventing acute stress events in patients with G6PD deficiency.

Cited by 1 publication

References 9 publications

A 5-year-old child with hemolytic anemia caused by glucose-6-phosphate dehydrogenase deficiency: a case report

A 5-year-old child with hemolytic anemia caused by glucose-6-phosphate dehydrogenase deficiency: a case report

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