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Nursing of an Infant Diagnosed with Neonatal Intrahepatic Cholestasis Caused by Citrin Deficiency (NICCD) with Respiratory Syncytial Virus (RSV) Infection: A Case Report

Received: 5 February 2021    Accepted: 15 February 2021    Published: 26 February 2021
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Abstract

Background: Citrin deficiency is an autosomal recessive genetic disorder caused by SLC25A13 genetic mutations. Understandably, Neonatal Intrahepatic Cholestasis caused by Citrin Deficiency (NICCD) was one of its clinical phenotypes, usually occurred in the neonatal period or infancy. The effective treatment of dietary intervention and symptomatic support may provide an avenue for clinicians to reduce liver damage and improve clinical prognosis. Objective: We report a 5-month-old infant diagnosed with Neonatal Intrahepatic Cholestasis caused by Citrin Deficiency (NICCD), coexisting Respiratory Syncytial Virus (RSV) infection. Method: The patient presented with rhinorrhea and cough, jaundiced skin and sclera, fat faces and hepatomegaly. Simultaneously, the child’s mother performed obvious anxious emotion. Infection control, nutrition management, and psychological guidance for the caregiver during hospitalization to discharge were achieved. Meanwhile, effective health education also plays a good role in these interventions. Result: After half a month, the patient’s infection was given controlled. Jaundice and hepatomegaly were improved gradually. Followeing up for 2 months, the clinical symptoms for NICCD were disappeared and the caregiver’s anxiety was alleviated effectively. The importance of follow-up and support longitudinally to improve the quality of life for patients is emphasized. Conclusion: Therefore, this study provided primary while valuable nursing care experience for NICCD with RSV infection patients.

Published in Clinical Medicine Research (Volume 10, Issue 1)
DOI 10.11648/j.cmr.20211001.16
Page(s) 31-34
Creative Commons

This is an Open Access article, distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution and reproduction in any medium or format, provided the original work is properly cited.

Copyright

Copyright © The Author(s), 2024. Published by Science Publishing Group

Keywords

Citrin Deficiency, SLC25A13, Nursing, Infant, Case Report

References
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[5] National Health Commission of the People’s Republic of China. Notice of the General Office of the National Health Commission on the Issuance of Guidelines for the Diagnosis and Treatment of Rare Diseases (2019 edition). [EB/OL]. [2019-02-27]. http://www.nhc.gov.cn/yzygj/s7659/201902/61d06b4916c348e0810ce1fceb844333.shtml
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[13] Toivonen, L., Karppinen, S., Schuez-Havupalo, L., Teros-Jaakkola, T., Mertsola, J., Waris, M., & Peltola, V. (2020). Respiratory syncytial virus infections in children 0-24 months of age in the community. The Journal of infection, 80 (1), 69-75.
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[15] Abuduxikuer, K., Chen, R., Wang, Z. L., & Wang, J. S. (2019). Risk factors associated with mortality in neonatal intrahepatic cholestasis caused by citrin deficiency (NICCD) and clinical implications. BMC pediatrics, 19 (1), 18.
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  • APA Style

    Lingli Cai, Yuanzong Song, Ning Zhang, Meixue Chen, Weiju Chen, et al. (2021). Nursing of an Infant Diagnosed with Neonatal Intrahepatic Cholestasis Caused by Citrin Deficiency (NICCD) with Respiratory Syncytial Virus (RSV) Infection: A Case Report. Clinical Medicine Research, 10(1), 31-34. https://doi.org/10.11648/j.cmr.20211001.16

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    ACS Style

    Lingli Cai; Yuanzong Song; Ning Zhang; Meixue Chen; Weiju Chen, et al. Nursing of an Infant Diagnosed with Neonatal Intrahepatic Cholestasis Caused by Citrin Deficiency (NICCD) with Respiratory Syncytial Virus (RSV) Infection: A Case Report. Clin. Med. Res. 2021, 10(1), 31-34. doi: 10.11648/j.cmr.20211001.16

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    AMA Style

    Lingli Cai, Yuanzong Song, Ning Zhang, Meixue Chen, Weiju Chen, et al. Nursing of an Infant Diagnosed with Neonatal Intrahepatic Cholestasis Caused by Citrin Deficiency (NICCD) with Respiratory Syncytial Virus (RSV) Infection: A Case Report. Clin Med Res. 2021;10(1):31-34. doi: 10.11648/j.cmr.20211001.16

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  • @article{10.11648/j.cmr.20211001.16,
      author = {Lingli Cai and Yuanzong Song and Ning Zhang and Meixue Chen and Weiju Chen and Qingran Lin},
      title = {Nursing of an Infant Diagnosed with Neonatal Intrahepatic Cholestasis Caused by Citrin Deficiency (NICCD) with Respiratory Syncytial Virus (RSV) Infection: A Case Report},
      journal = {Clinical Medicine Research},
      volume = {10},
      number = {1},
      pages = {31-34},
      doi = {10.11648/j.cmr.20211001.16},
      url = {https://doi.org/10.11648/j.cmr.20211001.16},
      eprint = {https://article.sciencepublishinggroup.com/pdf/10.11648.j.cmr.20211001.16},
      abstract = {Background: Citrin deficiency is an autosomal recessive genetic disorder caused by SLC25A13 genetic mutations. Understandably, Neonatal Intrahepatic Cholestasis caused by Citrin Deficiency (NICCD) was one of its clinical phenotypes, usually occurred in the neonatal period or infancy. The effective treatment of dietary intervention and symptomatic support may provide an avenue for clinicians to reduce liver damage and improve clinical prognosis. Objective: We report a 5-month-old infant diagnosed with Neonatal Intrahepatic Cholestasis caused by Citrin Deficiency (NICCD), coexisting Respiratory Syncytial Virus (RSV) infection. Method: The patient presented with rhinorrhea and cough, jaundiced skin and sclera, fat faces and hepatomegaly. Simultaneously, the child’s mother performed obvious anxious emotion. Infection control, nutrition management, and psychological guidance for the caregiver during hospitalization to discharge were achieved. Meanwhile, effective health education also plays a good role in these interventions. Result: After half a month, the patient’s infection was given controlled. Jaundice and hepatomegaly were improved gradually. Followeing up for 2 months, the clinical symptoms for NICCD were disappeared and the caregiver’s anxiety was alleviated effectively. The importance of follow-up and support longitudinally to improve the quality of life for patients is emphasized. Conclusion: Therefore, this study provided primary while valuable nursing care experience for NICCD with RSV infection patients.},
     year = {2021}
    }
    

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  • TY  - JOUR
    T1  - Nursing of an Infant Diagnosed with Neonatal Intrahepatic Cholestasis Caused by Citrin Deficiency (NICCD) with Respiratory Syncytial Virus (RSV) Infection: A Case Report
    AU  - Lingli Cai
    AU  - Yuanzong Song
    AU  - Ning Zhang
    AU  - Meixue Chen
    AU  - Weiju Chen
    AU  - Qingran Lin
    Y1  - 2021/02/26
    PY  - 2021
    N1  - https://doi.org/10.11648/j.cmr.20211001.16
    DO  - 10.11648/j.cmr.20211001.16
    T2  - Clinical Medicine Research
    JF  - Clinical Medicine Research
    JO  - Clinical Medicine Research
    SP  - 31
    EP  - 34
    PB  - Science Publishing Group
    SN  - 2326-9057
    UR  - https://doi.org/10.11648/j.cmr.20211001.16
    AB  - Background: Citrin deficiency is an autosomal recessive genetic disorder caused by SLC25A13 genetic mutations. Understandably, Neonatal Intrahepatic Cholestasis caused by Citrin Deficiency (NICCD) was one of its clinical phenotypes, usually occurred in the neonatal period or infancy. The effective treatment of dietary intervention and symptomatic support may provide an avenue for clinicians to reduce liver damage and improve clinical prognosis. Objective: We report a 5-month-old infant diagnosed with Neonatal Intrahepatic Cholestasis caused by Citrin Deficiency (NICCD), coexisting Respiratory Syncytial Virus (RSV) infection. Method: The patient presented with rhinorrhea and cough, jaundiced skin and sclera, fat faces and hepatomegaly. Simultaneously, the child’s mother performed obvious anxious emotion. Infection control, nutrition management, and psychological guidance for the caregiver during hospitalization to discharge were achieved. Meanwhile, effective health education also plays a good role in these interventions. Result: After half a month, the patient’s infection was given controlled. Jaundice and hepatomegaly were improved gradually. Followeing up for 2 months, the clinical symptoms for NICCD were disappeared and the caregiver’s anxiety was alleviated effectively. The importance of follow-up and support longitudinally to improve the quality of life for patients is emphasized. Conclusion: Therefore, this study provided primary while valuable nursing care experience for NICCD with RSV infection patients.
    VL  - 10
    IS  - 1
    ER  - 

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Author Information
  • School of Nursing, Jinan University, Guangzhou, China

  • Department of Pediatrics, The First Affiliated Hospital of Jinan University, Guangzhou, China

  • School of Nursing, Jinan University, Guangzhou, China

  • School of Nursing, Jinan University, Guangzhou, China

  • School of Nursing, Jinan University, Guangzhou, China

  • Department of Nursing, The First Affiliated Hospital of Jinan University, Guangzhou, China

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