AI Article Synopsis
- - A 4-year-old boy experienced hypovolemic shock from severe gastrointestinal bleeding, and an endoscopy revealed hiatus hernia and esophageal erosion likely caused by gastroesophageal reflux.
- - The child's only recent intake was a herbal syrup containing salicylates, prescribed for a mild cold, and tests confirmed these substances were present in the syrup.
- - Following a probable link between the syrup and the symptoms via the Naranjo algorithm, the child was treated successfully and the product was removed from the Italian market.
Article Abstract
We report the case of a 4-years-old boy who was admitted with hypovolemic shock due to a severe gastrointestinal bleeding. The esophagogastroduodenoscopy (EGDS) showed hiatus hernia, erosions and ulcerations of the lower esophagus, possibly due to a gastroesophageal reflux, and a small duodenal erosion. The child was previously healthy and he had never shown any symptoms related to this condition. The only product taken by the child in the previous days was a syrup containing several herbs, among which Filipendula ulmaria (L.) Maxim. and Salix spp. (known to contain salicylates), marketed as food and prescribed by his paediatrician to treat a mild cold accompanied by fever. Quali-quantitative analysis confirmed the presence of salicylates in the syrup. Naranjo algorithm showed a probable correlation between the onset of symptoms and the consumption of the herbal remedy. The child recovered after receiving intensive care. The product was withdrawn from Italian market.
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| http://dx.doi.org/10.4415/ANN_11_03_07 | DOI Listing |
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