PEDIATRICS Vol. 65 No. 1 January 1980, pp. 141-143
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Necrosis of the Forearm Following Radial Artery Catheterization in a Patient with Reye's Syndrome

Thom Mayer MD1, Michael E. Matlak MD1, and Joel A. Thompson MD1

1 Departments of Pediatric Surgery and Neurology, Primary Children's Medical Center and University of Utah College of Medicine, Salt Lake City

The use of indwelling arterial catheters has become increasingly widespread in pediatric patients in recent years. As experience has expanded so has awareness of the complications that their use may entail. We report a case of a 9-month-old patient with Reye's syndrome who suffered diffuse microvascular compromise, which resulted in partial loss of an extremity following radial artery catheterization.

CASE REPORT

A 9-month-old male infant, previously in excellent health, was seen with a three-day history of rhinorrhea and cough, a one-day history of vomiting, and a 12-hour history of lethargy. When seen at a local hospital he had status left-sided focal seizures and a serum glucose of 17 mg/100 ml.