Paradoxical worsening in a moderate to severe asthma exacerbation

Authors:

Fernández Calderón L^a, López de Viñaspre Vera-Fajardo M^b, López Fernández C^c, Torre González T^d

^aServicio de Pediatría. Hospital Universitario Marqués de Valdecilla. Santander. España.
^bMIR-Pediatría. Hospital Universitario Marqués de Valdecilla. Santander, Cantabria. España.
^cServicio de Pediatría. Hospital Universitario Marqués de Valdecilla. Santander, España.
^dMIR-Pediatría. Hospital Universitario Marqués de Valdecilla. Santander, Cantabria. España.

Correspondence: L Fernández. Email: luciafc90@gmail.com

Reference of this article.:

Fernández Calderón L, López de Viñaspre Vera-Fajardo M, López Fernández C, Torre González T. Empeoramiento clínico paradójico en una crisis asmática moderada-grave. Rev Pediatr Aten Primaria. 2022;24:e115-e119..

Published in Internet: 25/02/2022

Abstract:

Asthma exacerbations are among the most frequent reasons for paediatric primary care and emergency care visits. Asthma is a disease with a well-established management and treatment algorithm based on severity, and drugs with a good safety profile for the paediatric population are available for its treatment. We present a case with a poor inital response illustrating a paradoxical reaction to salbutamol.

Keywords: Albuterol. Asthma. Lactic acidosis.