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Marianne B. Jacobs, DO; Maria A. Gieron, MD; Carlos R. Martinez, MD; Alfonso Campos, MD; Beverly P. Wood, MD

Am J Dis Child. 1990;144(8):937-938.

	Since this article does not have an abstract, we have provided the first 150 words of the full text PDF and any section headings.

A 9-year-old girl was diagnosed with nephrotic syndrome 6 months previously, based on a kidney biopsy showing focal sclerosis with mesangial proliferation. Despite prednisone and cyclophosphamide therapy, she progressed to end-stage renal disease. The patient unexpectedly developed a hypertensive crisis with pulmonary edema and cardiac arrest. Cardiopulmonary resuscitation was immediately initiated and continued for approximately 20 minutes. At that time ventilation was difficult and arterial oxygen saturation was 60%. She remained cyanotic despite intubation, and the arterial blood gas results were a pH of 7.26, a PO₂ of 38, and a PCO₂ of 41 at the time of transfer to a critical care unit. A neurologic evaluation was not performed while she was intubated because pharmacologic paralysis was required. After 72 hours of assisted ventilation and daily hemodialysis the patient's endotracheal tube was removed. She was alert with generalized weakness. During the next week the patient developed involuntary . . . [Full Text PDF of this Article]

Author Affiliations
Contributed from the Departments of Neurology (Dr Jacobs), Pediatrics (Drs Gieron and Campos), and Radiology (Dr Martinez), University of South Florida, Tampa.

Footnotes
Accepted for publication August 18, 1989.

Reprint requests to the Department of Radiology, Childrens Hospital of Los Angeles, 4650 Sunset Blvd, Los Angeles, CA 90027 (Dr Wood).

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