[83岁的患有胸痛,血红素尿和黄肠炎的老人]
Franziska Dickmann1, Uwe Janssens1
1St. Antonius-Hospital, Eschweiler, Deutschland.
一个罕见的由Proteus mirabilis bacteremia引发的自身免疫血液溶解性贫血 (AIHA) 病例在一名老年患者中被诊断出. 感染和类固醇的快速治疗解决了血液溶解,强调了跨学科护理的重要性.
科学领域:
- 血液学 血液学 血液学
- 传染性疾病 传染性疾病
- 内部医学 内部医学
背景情况:
- 带有感冒抗体的自身免疫血液溶解性贫血 (AIHA) 可能伴有黄和血液溶解等非特异性症状.
- 实验室诊断可能是具有挑战性的,因为分析前的变量,如样品血液溶解.
研究的目的:
- 报告一个由Proteus mirabilis bacteremia引起的AIHA二次病例.
- 强调AIHA的诊断挑战和管理策略.
主要方法:
- 临床表现审查,实验室诊断包括库姆斯试验和C3d载红细胞检测.
- 管理包括用抗生素治疗潜在的细菌病,并为AIHA使用高剂量的普雷迪尼索隆.
主要成果:
- 患者出现了心痛,血红素尿和黄,由血液溶解和急性损伤复杂化.
- 感冒抗体AIHA的诊断得到证实,Proteus mirabilis bacteremia被确定为原因.
- 治疗导致了血液溶解的回归和患者的随访出院.
结论:
- 蛋白质神奇的细菌病可以沉AIHA.
- 跨学科的合作对于诊断和管理AIHA至关重要.
- 由于潜在的并发症,在AIHA中输血需要严格的指示.
更多相关视频
04:05Author Spotlight: Unveiling Prognostic Indicators in Heart Failure - The Role of Phase Angle and Bioelectrical Impedance Analysis
Published on: June 30, 2023
10:28Interventional Diagnostic Procedure: A Practical Guide for the Assessment of Coronary Vascular Function
Published on: March 15, 2022
相关概念视频
Gastritis III: Clinical Manifestations and Management
Clinical manifestations of acute gastritis
The patient with acute gastritis may have a rapid onset of symptoms, such as epigastric pain or discomfort, dyspepsia, anorexia, hiccups, or nausea and vomiting, which can last from a few hours to a few days. Erosive or hemorrhagic gastritis may cause bleeding, which may manifest as blood in vomit or as...
Imaging Studies for Cardiovascular System I:Echocardiography
Indications: Echocardiography is utilized to diagnose heart failure, valve disorders, and myocardial infarction. It also assesses cardiac structures' size, shape, and motion,...
Radiological Investigation III: Pulmonary Angiogram and PET Scan
Pulmonary Angiogram
A Pulmonary Angiogram is an invasive procedure involving injecting a contrast medium through a catheter threaded into the pulmonary artery or the right side of the heart to visualize the pulmonary vasculature. Computed Tomography (CT) scans have mainly replaced this...
Chronic Obstructive Pulmonary Disease-III: Symptoms and Complications.
Symptoms of COPD can be classified as primary or systemic. Primary symptoms relate to reduced airflow, while systemic or extrapulmonary symptoms relate to COPD's broader impact on the body.
Primary Symptoms of COPD:
Cardiovascular System Abnormal Findings I: Inspection and Palpation
Abnormal findings observed during an inspection
Alterations in Blood Pressure
Hypertension (High blood pressure)
Hypertension occurs when blood pressure readings consistently exceed the normal range. It is diagnosed when systolic blood pressure (the top number, indicating pressure while the heart...
