A Perfect Storm: Case of Chronic Albumin Loss, Multi-Morbidity and Antibiotic Resistance.

Current health sciences journal Pub Date : 2024-10-01 Epub Date: 2024-12-31 DOI:10.12865/CHSJ.50.04.15
Nayak Snehasis, Sayed Zafar
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Abstract

Comorbidity is described as the presence of many health disorders in one individual, which may be connected or arise independently. We report a 61-year-old male patient with a complex history of recurrent deep vein thrombosis (DVT) and chronic hypoalbuminemia presenting to the emergency department due to sudden left lower limb swelling, pain, coldness, and bluish discoloration of the foot, leading to a severe infection necessitating a below-knee amputation. Even after extensive workup, the etiology behind hypoalbuminemia remained unknown with Protein-losing enteropathy (PLE) suspected, but not confirmed. This is a very peculiar case and highlights the challenges in managing such patients while emphasizing the need for a multidisciplinary approach in long-term care.

一场完美风暴:慢性白蛋白丢失、多发病和抗生素耐药性的病例。
合并症被描述为在一个个体中存在多种健康疾病,这些疾病可能是相互关联的,也可能是独立出现的。我们报告一名61岁男性患者,因左下肢突然肿胀、疼痛、发冷和足部发蓝而导致严重感染,需要进行膝下截肢,并伴有复发性深静脉血栓形成(DVT)和慢性低白蛋白血症的复杂病史。即使经过广泛的检查,低白蛋白血症背后的病因仍然未知,怀疑有蛋白质丢失性肠病(PLE),但未得到证实。这是一个非常特殊的情况,突出了在管理这类患者的挑战,同时强调了在长期护理中需要多学科方法。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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