Diffuse Ischemic Strokes and Sickle Cell Crisis Induced by Disseminated Anaplasmosis: A Case Report
| Autor: | Tyler Crissinger, Kelly Baldwin, John Herbst |
|---|---|
| Jazyk: | angličtina |
| Rok vydání: | 2019 |
| Předmět: |
Pediatrics
medicine.medical_specialty Anaplasmosis HbSC Case Report Disease lcsh:RC346-429 law.invention 03 medical and health sciences 0302 clinical medicine law Babesiosis medicine 030212 general & internal medicine Stroke Feeding tube lcsh:Neurology. Diseases of the nervous system Sickle cell business.industry Emergency department Eculizumab medicine.disease Intensive care unit Pulseless electrical activity Neurology (clinical) business 030217 neurology & neurosurgery Atovaquone medicine.drug |
| Zdroj: | Case Reports in Neurology Case Reports in Neurology, Vol 11, Iss 3, Pp 271-276 (2019) |
| ISSN: | 1662-680X |
| Popis: | We present a 26-year-old female with HbSC disease who presented to the emergency department multiple times with pain and shortness of breath, eventually developing unresponsiveness and a brief episode of pulseless electrical activity. She was admitted to the intensive care unit with multisystem organ failure and found to have diffuse ischemic strokes. Infectious workup revealed disseminated anaplasmosis and babesiosis, which had likely caused sickle cell crisis, atypical hemolytic-uremic syndrome, and ischemic brain injury. She was started on eculizumab therapy as well as antimicrobial therapy with doxycycline, clindamycin, and atovaquone. The patient was given tracheostomy and a percutaneous feeding tube. Unfortunately, she did not have significant neurologic recovery after prolonged hospital stay and was discharged to a skilled nursing facility with significant neurologic burden. |
| Databáze: | OpenAIRE |
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