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|Título:||Severe acute anemia after liver transplantation in an elderly Jehovah's witness treated with high-dose erythropoietin and ferric carboxymaltose : a case report|
|Autor(es):||Brunetta, D. M.|
Santis, G. C. de
Mesquita, D. F .G.
Souza, F. N. O. A.
Garcia, J. H. P.
Transplante de Fígado
|Data do documento:||Out-2015|
|Citação:||BRUNETTA, D. M.; KAUFMAN, J. ; SANTIS, G. C. ; MESQUITA, D. F. G. ; SOUZA, F. N. O. A. ; GARCIA, J. H. P. (2015)|
|Abstract:||Background. There is no standard treatment for patients with severe anemia who refuse blood transfusion or cannot receive red blood cells. Case report. After an orthotopic liver transplantation, an elderly Jehovah ’ s Witness who refused blood transfusion presented with severe acute anemia with hemorrhagic shock. The calculated red blood cell loss was near 70%. Associated with surgical treatment and sup- portive measures, the patient was treated with high-dose erythropoietin and ferric carboxymaltose. Results. The patient presented a rapid increase in hemoglobin concentration and retic- ulocyte count with resolution of hemorrhagic shock after the proposed pharmacologic treatment combined with local hemostatic measures. She was transferred to a low-risk unit 4 days after transplantation and was discharged from the hospital on day 10. The hemoglobin concentration was normal 35 days after the bleeding event. Conclusion. This case demonstrated that a protocol with high-dose erythropoietin and ferric carboxymaltose may be an option for patients with severe anemia who refuse blood transfusion or cannot receive red blood cells|
|Descrição:||BRUNETTA, D. M. et al. Severe acute anemia after liver transplantation in an elderly Jehovah's witness treated with high-dose erythropoietin and ferric carboxymaltose : a case report. Transplantation Proceedings, New York, v. 47, n. 8, p. 2548-2551, 2015.|
|Aparece nas coleções:||DCIR - Artigos publicados em revista científica|
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