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对液体复苏无反应的低血压：一例报告

Hypotension Unresponsive to Fluid Resuscitation: A Case Report.

作者信息

Mameledzija Mahir, Nasrallah Erin, Hartrich Molly

机构信息

University of Illinois at Chicago, Department of Emergency Medicine, Chicago, Illinois.

Advocate Lutheran General Hospital, Department of Emergency Medicine, Park Ridge, Illinois.

出版信息

Clin Pract Cases Emerg Med. 2022 Aug;6(3):236-239. doi: 10.5811/cpcem.2022.4.55896.

DOI:10.5811/cpcem.2022.4.55896
PMID:36049191
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC9436499/
Abstract

INTRODUCTION

Iron deficiency anemia is commonly seen in the emergency department (ED), and the cause can be complex and variable.

CASE REPORT

We present a case of a female without known medical history who presented to the ED for generalized weakness and was found to have severe anemia in the setting of chronic lice infestation.

CONCLUSION

Severe and chronic pediculosis can cause chronic blood loss and be an unusual and rare cause of iron deficiency anemia. In the setting of anemia and hypotension unresponsive to fluid resuscitation, consideration should be given to early packed red blood cell transfusion and subsequent investigation of causes of severe anemia.

摘要

引言

缺铁性贫血在急诊科很常见，其病因可能复杂多样。

病例报告

我们报告一例无已知病史的女性患者，因全身无力就诊于急诊科，发现其在慢性虱子感染的情况下患有严重贫血。

结论

严重和慢性虱病可导致慢性失血，是缺铁性贫血的一种不常见且罕见的病因。在贫血和低血压对液体复苏无反应的情况下，应考虑早期输注浓缩红细胞，并随后调查严重贫血的病因。

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Head Lice Infestation: An Unusual Cause of Iron Deficiency Anemia in a 13-Year-Old Female.头虱感染：一名13岁女性缺铁性贫血的不寻常病因
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本文引用的文献

1
Ectoparasitosis, a rare cause of severe iron deficiency anemia: A case report.体外寄生虫病——严重缺铁性贫血的罕见病因：一例报告
Ann Med Surg (Lond). 2021 Sep 6;69:102784. doi: 10.1016/j.amsu.2021.102784. eCollection 2021 Sep.
2
A 12-Year-old Girl With Chronic Pediculosis Infestation Presenting With Severe Iron Deficiency Anemia.一位 12 岁女孩因慢性头虱感染导致严重缺铁性贫血。
J Pediatr Hematol Oncol. 2022 Apr 1;44(3):e804-e806. doi: 10.1097/MPH.0000000000002293.
3
Lice infestation causing severe anemia in a 4-year-old child.虱子感染导致一名4岁儿童严重贫血。
Can Fam Physician. 2019 Jul;65(7):473-475.
4
More than skin deep: Severe iron deficiency anemia and eosinophilia associated with pediculosis capitis and corporis infestation.不止于皮肤表面：严重缺铁性贫血和嗜酸性粒细胞增多症与头虱和体虱感染相关。
JAAD Case Rep. 2019 May 8;5(5):444-447. doi: 10.1016/j.jdcr.2019.03.001. eCollection 2019 May.
5
Severe iron deficiency anaemia associated with heavy lice infestation in a young woman.一名年轻女性因重度虱子感染导致严重缺铁性贫血。
BMJ Case Rep. 2015 Nov 5;2015:bcr2015212207. doi: 10.1136/bcr-2015-212207.
6
A ghost covered in lice: a case of severe blood loss with long-standing heavy pediculosis capitis infestation.一个满身虱子的幽灵：一例伴有长期严重头虱感染的严重失血病例。
BMJ Case Rep. 2014 Dec 19;2014:bcr2014206623. doi: 10.1136/bcr-2014-206623.
7
Severe iron deficiency anemia and lice infestation.重度缺铁性贫血和虱子感染。
J Emerg Med. 2011 Oct;41(4):362-5. doi: 10.1016/j.jemermed.2010.05.030. Epub 2010 Jul 24.
8
Quantification of blood intake of the head louse: Pediculus humanus capitis.头虱（人头虱）血液摄入量的量化
Int J Dermatol. 2006 May;45(5):543-6. doi: 10.1111/j.1365-4632.2005.02520.x.