Edwards Zach, DeMeo Stephen
Campbell University School of Osteopathic Medicine, Raleigh, North Carolina.
WakeMed, Department of Neonatology, Raleigh, North Carolina.
Clin Pract Cases Emerg Med. 2020 Nov;4(4):668-670. doi: 10.5811/cpcem.2020.8.49040.
Sepsis commonly brings patients to the emergency department (ED). Patient outcomes can vary widely. In some cases, rare complications of sepsis such as autoimmune hemolytic anemia can occur.
A 68-year-old female presented with sepsis secondary to infected nephrolithiasis. The patient had signs and symptoms consistent with hemolysis upon arrival to the ED. Her hemolysis progressively worsened over a two-day period leading to a diagnosis of warm autoimmune hemolytic anemia. She responded well to treatment; however, her condition began to worsen due to a new infection caused by perforated colonic diverticula. The patient ultimately expired from complications of her perforated colonic diverticula.
It is crucial that emergency physicians understand the risk factors, symptoms, pathophysiology, and treatment of this rare complication of sepsis so that favorable patient outcomes can be achieved.
脓毒症常使患者前往急诊科（ED）就诊。患者的预后差异很大。在某些情况下，脓毒症可能会出现罕见并发症，如自身免疫性溶血性贫血。
一名68岁女性因感染性肾结石继发脓毒症就诊。患者抵达急诊科时出现了与溶血相符的体征和症状。在两天内，她的溶血情况逐渐恶化，最终被诊断为温抗体型自身免疫性溶血性贫血。她对治疗反应良好；然而，由于结肠憩室穿孔引发的新感染，她的病情开始恶化。该患者最终因结肠憩室穿孔的并发症死亡。
急诊医生必须了解脓毒症这种罕见并发症的危险因素、症状、病理生理学和治疗方法，以便实现良好的患者预后。
