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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
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author Edwards, Zach
DeMeo, Stephen
author_facet Edwards, Zach
DeMeo, Stephen
author_sort Edwards, Zach
collection PubMed
description 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.
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spelling pubmed-76767602020-11-24 Sepsis-induced Autoimmune Hemolytic Anemia: A Case Report Edwards, Zach DeMeo, Stephen Clin Pract Cases Emerg Med ACOEP 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. 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. University of California Irvine, Department of Emergency Medicine publishing Western Journal of Emergency Medicine 2020-10-05 /pmc/articles/PMC7676760/ /pubmed/33217304 http://dx.doi.org/10.5811/cpcem.2020.8.49040 Text en Copyright: © 2020 Edwards et al. http://creativecommons.org/licenses/by/4.0/ This is an open access article distributed in accordance with the terms of the Creative Commons Attribution (CC BY 4.0) License. See: http://creativecommons.org/licenses/by/4.0/
spellingShingle ACOEP Case Report
Edwards, Zach
DeMeo, Stephen
Sepsis-induced Autoimmune Hemolytic Anemia: A Case Report
title Sepsis-induced Autoimmune Hemolytic Anemia: A Case Report
title_full Sepsis-induced Autoimmune Hemolytic Anemia: A Case Report
title_fullStr Sepsis-induced Autoimmune Hemolytic Anemia: A Case Report
title_full_unstemmed Sepsis-induced Autoimmune Hemolytic Anemia: A Case Report
title_short Sepsis-induced Autoimmune Hemolytic Anemia: A Case Report
title_sort sepsis-induced autoimmune hemolytic anemia: a case report
topic ACOEP Case Report
url 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
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