A 13-day old baby, admitted to the general room with hyperammonemia and left ventricular hypertrophy was scheduled for central venous catheter CVC placement, with no complications. At 6 months of age she was taken to bone marrow aspiration and biopsy and presented tonic seizures in the immediate postoperative period. She was treated with rectal diazepam and temporary intubation, and had a difficult intravenous access that required placement of a CVC. Metabolic acidosis, hyperglycemia and anemia were documented, and the course was favorable.
Una paciente de 13 días de vida, hospitalizada en la sala general con hiperamonemia e hipertrofia ventricular izquierda, fue programada para la colocación de un catéter venoso central CVC, sin complicaciones; a los 6 meses le realizaron aspirado y biopsia de médula ósea, presentando 4convulsiones tónicas en el POP inmediato, manejadas con diazepam rectal e intubación transitoria, con acceso intravenoso difícil que requirió la colocación de un CVC; se documentó acidosis metabólica, hiperglucemia y anemia, con evolución favorable.