Role of molecular adsorbent recirculating system in methotrexate-induced acute liver failure: a case report and literature review.

Front Pediatr

Pediatric and Neonatal Intensive Care Unit, Department of Pediatrics, Gynecology and Obstetrics, University Hospital of Geneva, University of Geneva, Geneva, Switzerland.

Published: August 2024


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Article Abstract

We describe the case of a 14-year-old girl with osteosarcoma who was treated with high-dose methotrexate (12 g/m). Twenty-four hours after the infusion, her plasma methotrexate concentration was elevated at 937 μmol/L (normal < 10 µmol/L). She exhibited severe signs of methotrexate toxicity, including encephalopathy, acute liver failure (ALF), and acute kidney injury. In this case report, we highlight the severe and rare adverse effects secondary to methotrexate administration and the efficacity of molecular adsorbent recirculating system and continuous venovenous hemodiafiltration to recover from multiple organ failure.

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http://www.ncbi.nlm.nih.gov/pmc/articles/PMC11363709PMC
http://dx.doi.org/10.3389/fped.2024.1424919DOI Listing

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