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Updated: Aug 30, 2025
A Novel Approach for the Administration of Medications and Fluids in Emergency Scenarios and Settings
Published on: November 9, 2016
Hypotension Unresponsive to Fluid Resuscitation: A Case Report
Mahir Mameledzija1, Erin Nasrallah2, Molly Hartrich1
1University of Illinois at Chicago, Department of Emergency Medicine, Chicago, Illinois.
Introduction:
Iron deficiency anemia is commonly seen in the emergency department (ED), and the cause can be complex and variable.
Case Report:
We present a case of a female without known medical history who presented to the ED for generalized weakness and was found to have severe anemia in the setting of chronic lice infestation.
Conclusion:
Severe and chronic pediculosis can cause chronic blood loss and be an unusual and rare cause of iron deficiency anemia. In the setting of anemia and hypotension unresponsive to fluid resuscitation, consideration should be given to early packed red blood cell transfusion and subsequent investigation of causes of severe anemia.
