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Hats Off to HIT: A Case Report

Akhwand Shakeel Ahmad, Dhia Jaber Al-Layla, Manjula Dhinakar

    Oman Medical Journal
    |July 20, 2012
    PubMed

    Thrombocytopenia is a well- recognized complication of heparin therapy. The diagnosis is mostly clinical and the main value of laboratory testing is in excluding the diagnosis. We describe here a patient with stroke who had aspiration pneumonia leading to sepsis. She developed atrial fibrillation and received heparin which had to be stopped prematurely due to melena. Within 5 days of heparin, she had thrombocytopenia which was heparin-induced thrombocytopenia (HIT), but the diagnosis was missed initially as heparin was no longer on the drug chart.

    Keywords:
    Atrial fibrillationHeparin-induced thrombocytopeniaStroke

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