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Revista Cubana de Medicina Intensiva y Emergencias

ISSN 1810-2352 (Print)
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2015, Number 2

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Rev Cub Med Int Emerg 2015; 14 (2)

Disseminated intravascular coagulation associated with a septic case

González AJ, Terra IA, Brito BM, de la Garza AJE
Full text How to cite this article

Language: Spanish
References: 6
Page: 12-18
PDF size: 468.24 Kb.


Key words:

disseminated intravascular coagulation, sepsis, multiple organ dysfunction, Acinetobacter.

ABSTRACT

A case of a one-month old female infant admitted in the pediatric intensive care unit of “Isla de la Juventud” with the diagnosis of bronchiolitis is presented. After five days of evolutions in the intensive care unit, she acquired an infection associated with medical care by Acinetobacter Sp, and she developed a disseminated intravascular coagulation as a complication. The treatment in this case was difficult because of the Multidrug-Resistant Acinetobacter (MDR-A) infection. Clinically she presented bleeding manifestations and multiple organ dysfunction. The clinic stability of the patient was achieved with a combination of antimicrobial therapy, strict metabolic control and replenishment of depleted blood components. The hospital discharge was at 79 days with the evaluation by a multidisciplinary team. The topic review was carried out as a starting point from a few cases described in the medical literature.


REFERENCES

  1. Bakhshi S, Arya LS. Diagnosis and treatment of disseminated intravascular coagulation. Pediatr 2003;40:721-30.

  2. Iba T, Kidokoro A. Disseminated intravascular coagulation. Nippon Rinsho 2003; 61:1010-4.

  3. Taylor FG, Kinasewitz GT. The diagnosis and management of disseminated intravascular coagulation. Curr Hematol Rep 2002; 1:34-40.

  4. Laurie Barclay, MD. Revisión del tratamiento de la infección por Acinetobacter. Med center. Lancet Infect Dis. 2008; 8:751-762.

  5. Sedano C. y Marco F. Alteraciones adquiridas de la coagulación. En: Sanz M.A. y Carreras E. Manual Práctico de Hematología Clínica, 2ªEdición. Editorial Antares SCP, Barcelona 2005.

  6. Lemus-Varela L., Sola A., Golombek S. G.Manual práctico para toma de decisiones en hematología neonatal. 1ª ed. - Buenos Aires: Edimed-Ediciones Médicas, 2011.




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C?MO CITAR (Vancouver)

Rev Cub Med Int Emerg. 2015;14