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The Turkish Journal of Pediatrics
The Turkish Journal of Pediatrics 2020 , Vol 62 , Num 4
Terlipressin in the treatment of neonatal refractory hypotension caused by septic shock: a case report
Quanyao Chen 1 ,Zhiyi Huang 1 ,Yao Chen 1
1 Women and Children’s Hospital, School of Medicine, Xiamen University, Xiamen, Fujian, China DOI : 10.24953/turkjped.2020.04.019 Background. While the clinical benefits of terlipressin (TP) have been reported in adults and children with refractory hypotension, data in neonates are limited.

Case. Herein, we report a case of off-label rescue TP therapy in a neonate with septic shock and persistent hypotension. The patient`s blood pressure was normalized, and tissue perfusion improved without serious adverse reactions. However, genetic testing revealed mitochondrial gene defects in the patient, and the parents subsequently elected to stop treatment after 25 doses of TP (20 μg/kg/min every 4 h for 100 h).

Conclusion. While TP treatment appeared to help control hypotension and may prolong the survival time, there are no conclusive data regarding the safety and efficacy of TP in neonates. Keywords : hemorrhagic shock, hypotension, rescue therapy, Terlipressin, vasoconstriction

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