医学
血栓性血小板减少性紫癜
血栓性微血管病
分裂细胞
微血管病性溶血性贫血
美罗华
无症状的
内科学
血栓
尸检
紫癜(腹足类)
甲基强的松龙
呼吸窘迫
胃肠病学
血小板
儿科
外科
疾病
淋巴瘤
生物
生态学
作者
Muhammad Zain Mushtaq,Syed Usman Bin Mahmood,Syed Ahsan Ali,Muhammad Usman Shaikh
摘要
The clinical presentation of Covid-19 varies from being asymptomatic to developing acute respiratory distress syndrome and multi-organ dysfunction. The diffuse microvascular thrombi in multiple organs seen in the autopsy of Covid-19 patients are similar to that of thrombotic microangiopathy (TMA). TMA is characterised by thrombus formation in the microvasculature with laboratory findings of microangiopathic haemolytic anaemia (MAHA) and thrombocytopenia. A 49-year-old male presented to the Aga Khan University Hospital, Karachi. with fever, diarrhoea, altered level of consciousness, and a positive nasopharyngeal swab for SARS-CoV-2. He developed severe thrombocytopenia, MAHA with 5.8% schistocytes, and worsening renal function on the sixth day of admission. Diagnosis of thrombotic thrombocytopenic purpura (TTP) was established based on PLASMIC score, and he was successfully treated with intravenous (IV) Methylprednisolone, therapeutic plasma exchange and IV Rituximab. ---Continue
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