Journal of Surgery & Anesthesia Research最新文献

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Personal Protective Equipment for COVID-19 COVID-19个人防护装备

Journal of Surgery & Anesthesia Research Pub Date : 2020-12-31 DOI: 10.47363/JSAR/2020(1)113

Uday Jain

引用次数: 21

Sepsis Mimicking TTP-Case Report and Review of Literature 脓毒症模拟ttp病例报告及文献复习

Journal of Surgery & Anesthesia Research Pub Date : 2020-12-31 DOI: 10.47363/jsar/2020(1)104

Vijay Raju Krupesh, B. Mohanty, Srinivas B J, Sachin Jadhav, Basavaraj K H, P. N

{"title":"Sepsis Mimicking TTP-Case Report and Review of Literature","authors":"Vijay Raju Krupesh, B. Mohanty, Srinivas B J, Sachin Jadhav, Basavaraj K H, P. N","doi":"10.47363/jsar/2020(1)104","DOIUrl":"https://doi.org/10.47363/jsar/2020(1)104","url":null,"abstract":"Here we report a case of Sepsis mimicking as thrombotic thrombocytopenic purpura in a cancer patient with Urothelioma. A 61-year-old man with High grade Urothelial Carcinoma of left renal pelvis (Multifocal disease) Stage-4 presented with Fever on and off since 1 week and shortness of breath at rest since 2 days and hematuria since 1 day.Later in the course, he developed thrombocytopenia followed by MAHA (Micro Angiopathic haemolytic Anaemia), and other lab abnormalities .Thrombotic thrombocytopenic purpura (TTP) was suspected, and total plasma exchange was considered. Since serum procalcitonin,Total leucocyte count was very high and also had elevated prothrombin time, ADAMTS13(a disintegrin and metalloproteinase with thrombospondin type 1 motifs, member 13) was sent for confirmation showed that ADAMTS13 activity of more than 10% for which plasmapheresis was delayed , later patient was treated for sepsis , but patient did not respond and succumbed . This case shows that Sepsis can mimic TTP making diagnosis and treatment extremely difficult. In this type of clinical dilemma to do total plasma exchange (TPE) which is the main modality of treatment for TTP ADAMTS13 activity helps us to prioritise treatment","PeriodicalId":198093,"journal":{"name":"Journal of Surgery & Anesthesia Research","volume":"27 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2020-12-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"131841925","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

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