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Grimble G. Possible role of short-term parenteral nutrition with fat emulsions for development of haemophagocytosis with multiple organ failure in a patient with traumatic brain injury Roth B, Grande PO, Nillson-Ehle P and Eliasson I. Intensive Care Med 1993; 19: 111-114. Clin Nutr. 1994;13(2):127doi: 10.1016/0261-5614(94)90074-4.
Grimble, G. (1994). Possible role of short-term parenteral nutrition with fat emulsions for development of haemophagocytosis with multiple organ failure in a patient with traumatic brain injury Roth B, Grande PO, Nillson-Ehle P and Eliasson I. Intensive Care Med 1993; 19: 111-114. Clinical nutrition (Edinburgh, Scotland), 13(2), 127. https://doi.org/10.1016/0261-5614(94)90074-4
Grimble, G. "Possible role of short-term parenteral nutrition with fat emulsions for development of haemophagocytosis with multiple organ failure in a patient with traumatic brain injury Roth B, Grande PO, Nillson-Ehle P and Eliasson I. Intensive Care Med 1993; 19: 111-114." Clinical nutrition (Edinburgh, Scotland) vol. 13,2 (1994): 127. doi: https://doi.org/10.1016/0261-5614(94)90074-4
Grimble G. Possible role of short-term parenteral nutrition with fat emulsions for development of haemophagocytosis with multiple organ failure in a patient with traumatic brain injury Roth B, Grande PO, Nillson-Ehle P and Eliasson I. Intensive Care Med 1993; 19: 111-114. Clin Nutr. 1994 Apr;13(2):127. doi: 10.1016/0261-5614(94)90074-4. PMID: 16843373.
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Clin Nutr. 1994 Apr;13(2):127. doi: 10.1016/0261-5614(94)90074-4.

Possible role of short-term parenteral nutrition with fat emulsions for development of haemophagocytosis with multiple organ failure in a patient with traumatic brain injury Roth B, Grande PO, Nillson-Ehle P and Eliasson I. Intensive Care Med 1993; 19: 111-114.

Clinical nutrition (Edinburgh, Scotland)

G Grimble

Affiliations

  1. Department of Gastroenterology and Nutrition, Central Middlesex Hospital, London, UK.

PMID: 16843373 DOI: 10.1016/0261-5614(94)90074-4

Abstract

This paper describes a case-report of a 21-year-old woman who sustained an isolated traumatic brain injury following a road traffic accident. After a 3-day period of parenteral nutrition including fat (Intralipid 20%) she developed hypertriglyceridaemia and 'creaming plasma', with a rash, high fever, hypertension, raised inracranial pressure, hepatic and renal failure, haemolysis, marked thrombocytopenia, and leucopenia, coagulation disorder and pulmonary failure, suggestive of hyperactivation of the monocyte-macrophage system. Treatment involved cessation of the lipid emulsion infusion and steroids. 6 months after the accident, the patient was well recovered with only minor neurological sequelae.

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