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Extreme nutritional neglect leading to cardiac arrest in a child: a rare presentation of severe acute malnutrition in England

Authors

Ashley Reed
Ashleyreed@nhs.net
https://orcid.org/0000-0001-5021-6641
Consultant Practitioner in Emergency Care, Southend University Hospital, Mid and South Essex NHS Trust, United Kingdom.
Mohamed Bar
https://orcid.org/0009-0003-0809-6334
Paediatric Trainee, Southend University Hospital, Mid and South Essex NHS Trust, United Kingdom.

This case report from England describes an 8-year-old girl who suffered severe health complications culminating in cardiac arrest due to profound neglect and malnutrition. The patient presented with cardiac arrest, which was attributed to her severe wasting. Upon admission, her body mass index measured 12.8 kg/m2 (z-score ranging between -2 and -3), indicative of severe malnutrition. The patient presented with respiratory, renal, and hepatic failure, in addition to disseminated intravascular coagulation. Resuscitative measures were administered, and she underwent 162 hours of ventilation in the paediatric intensive care unit. Despite the gravity of her initial presentation, the patient exhibited a notable recovery. Paediatric cardiac arrest stemming from extreme nutritional neglect is a rare occurrence in England. This case underscores the paramount importance of prompt intervention and comprehensive medical oversight. The patient's relatively favourable recovery underscores the potential for positive outcomes when timely and appropriate medical interventions are employed.

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Mohamed Bar, Paediatric Trainee, Southend University Hospital, Mid and South Essex NHS Trust

Paediatric Trainee, Southend University Hospital, Mid and South Essex NHS Trust, UK

How to Cite

Reed, A., & Bar, M. (2024). Extreme nutritional neglect leading to cardiac arrest in a child: a rare presentation of severe acute malnutrition in England. Emergency Care Journal. https://doi.org/10.4081/ecj.2024.13186
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