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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.
Clinical Practice and Cases in Emergency Medicine
|September 1, 2022
Summary
Chronic lice infestation (pediculosis) can lead to severe iron deficiency anemia due to blood loss. This rare cause should be investigated in patients with unexplained anemia, especially if unresponsive to initial treatment.
Area of Science:
- Hematology
- Parasitology
- Emergency Medicine
Background:
- Iron deficiency anemia is a frequent diagnosis in emergency departments.
- Causes of anemia are often complex and varied.
- Undiagnosed chronic conditions can lead to severe anemia.
Purpose of the Study:
- To report a rare case of severe iron deficiency anemia.
- To highlight an unusual cause of chronic blood loss.
- To emphasize the importance of thorough investigation in emergency medicine.
Main Methods:
- Case report of a female patient presenting with generalized weakness.
- Diagnosis of severe anemia.
- Identification of chronic lice infestation as the underlying cause.
Main Results:
- The patient presented with severe anemia.
- Chronic pediculosis was identified as the cause of significant blood loss.
- Anemia was refractory to initial fluid resuscitation.
Conclusions:
- Severe and chronic pediculosis is a rare but significant cause of iron deficiency anemia.
- Early packed red blood cell transfusion is crucial for patients with severe anemia and hypotension.
- Comprehensive investigation is necessary for unexplained anemia in the emergency setting.
