A CASE OF MYELODYSPLASTIC SYNDROME WITH SEPTIC SHOCK CAUSED BY GAS-PRODUCING ESCHERICHIA COLI

Autor:	Rikuro Hayashi, Kazuhiko Murata, Tadashi Suzuki, Shigeru Umeyama, Shuichi Ichikawa, Shunsuke Natori, Akira Hasegawa
Rok vydání:	1989
Předmět:	medicine.medical_specialty Septic shock Biology medicine.disease Cell morphology medicine.disease_cause Peripheral blood Surgery Blood cell medicine.anatomical_structure Precursor cell medicine Bone marrow Escherichia coli Gas gangrene
Zdroj:	The KITAKANTO Medical Journal. 39:539-542
ISSN:	1883-6135 0023-1908
DOI:	10.2974/kmj1951.39.539
Popis:	A 76-year-old woman was admitted to our hospital because of a bleeding tendency. The complete blood cell count disclosed bicytopenia and the myelogram showed hyperplasticity. Abnormality in the cell morphology was noticed in both the peripheral blood and in the bone marrow. Ferrokinetic study revealed an increased plasma iron turnover rate and an ineffective iron turnover rate. Blast cell content in the bone marrow as less than 5%, and the content of ringed sideroblasts was less than 1%. Consequently, we diagnosed her disease as refractory anemia and began supplement therapy. However the patient died of septic shock due to gasproducing Escherichia coli, after five months of treatment.This was a case of non-clostridial gas gangrene, but at the onset we could not detect crepitation and no gas image was seen on X-ray examination. Therefore diagnosis was difficult and the treatment was unsuccessful.
Databáze:	OpenAIRE
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