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Sepsis-induced Autoimmune Hemolytic Anemia: A Case Report

INTRODUCTION: Sepsis commonly brings patients to the emergency department (ED). Patient outcomes can vary widely. In some cases, rare complications of sepsis such as autoimmune hemolytic anemia can occur. CASE REPORT: A 68-year-old female presented with sepsis secondary to infected nephrolithiasis....

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Detalles Bibliográficos
Autores principales: Edwards, Zach, DeMeo, Stephen
Formato: Online Artículo Texto
Lenguaje:English
Publicado: University of California Irvine, Department of Emergency Medicine publishing Western Journal of Emergency Medicine 2020
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7676760/
https://www.ncbi.nlm.nih.gov/pubmed/33217304
http://dx.doi.org/10.5811/cpcem.2020.8.49040
Descripción
Sumario:INTRODUCTION: Sepsis commonly brings patients to the emergency department (ED). Patient outcomes can vary widely. In some cases, rare complications of sepsis such as autoimmune hemolytic anemia can occur. CASE REPORT: A 68-year-old female presented with sepsis secondary to infected nephrolithiasis. The patient had signs and symptoms consistent with hemolysis upon arrival to the ED. Her hemolysis progressively worsened over a two-day period leading to a diagnosis of warm autoimmune hemolytic anemia. She responded well to treatment; however, her condition began to worsen due to a new infection caused by perforated colonic diverticula. The patient ultimately expired from complications of her perforated colonic diverticula. CONCLUSION: It is crucial that emergency physicians understand the risk factors, symptoms, pathophysiology, and treatment of this rare complication of sepsis so that favorable patient outcomes can be achieved.