Related Experiment Videos
Primary hyperfibrinogenolysis in a patient with anaphylactic shock
1Servizio Immunotrasfusionale, Ospedale Civile, U.S.L. Pordenone, Italy.
Haematologica
|May 1, 1994
Summary
Anaphylactic shock can cause acute fibrinogenolysis, a condition where fibrinogen breaks down rapidly. This case study shows spontaneous resolution without specific treatment, highlighting the importance of early diagnosis.
Area of Science:
- Anesthesiology
- Emergency Medicine
- Hematology
Background:
- Systemic hyperfibrinogenolysis is a known complication during hypotensive crises.
- Primary acute fibrinogenolysis during anaphylactic shock is rarely reported in recent literature.
Observation:
- A 61-year-old male experienced anaphylactic shock following an insect bite.
- The patient presented with severe, generalized acute fibrinogenolysis.
- This condition was not secondary to disseminated intravascular coagulation (DIC).
Findings:
- The patient's clinical and laboratory picture indicated severe acute fibrinogenolysis.
- The condition resolved spontaneously within 40 hours without specific intervention.
- Clinical examination and simple laboratory tests facilitated rapid diagnosis.
Implications:
- Anaphylactic shock can precipitate primary acute fibrinogenolysis.
- Early recognition through clinical and laboratory assessment is crucial.
- Spontaneous resolution is possible, underscoring the need for careful monitoring.