Snehasis Nayak, Zafar Sayed
Medicine, University of Visayas Gullas college of Medicine, Banilad, Cebu, 6000, Philippines.
Curr Health Sci J. 2024 Oct-Dec;50(5):607-611. doi: 10.12865/CHSJ.50.04.15. Epub 2024 Dec 31.
Comorbidity is described as the presence of many health disorders in one individual, which may be connected or arise independently. We report a 61-year-old male patient with a complex history of recurrent deep vein thrombosis (DVT) and chronic hypoalbuminemia presenting to the emergency department due to sudden left lower limb swelling, pain, coldness, and bluish discoloration of the foot, leading to a severe infection necessitating a below-knee amputation. Even after extensive workup, the etiology behind hypoalbuminemia remained unknown with Protein-losing enteropathy (PLE) suspected, but not confirmed. This is a very peculiar case and highlights the challenges in managing such patients while emphasizing the need for a multidisciplinary approach in long-term care.
共病是指一个人存在多种健康问题，这些问题可能相互关联或独立出现。我们报告了一名61岁男性患者，他有复发性深静脉血栓形成（DVT）和慢性低白蛋白血症的复杂病史，因左下肢突然肿胀、疼痛、发冷和足部发蓝而到急诊科就诊，导致严重感染，需要进行膝下截肢。即使经过广泛检查，低白蛋白血症的病因仍不清楚，怀疑是蛋白丢失性肠病（PLE），但未得到证实。这是一个非常特殊的病例，突出了管理此类患者的挑战，同时强调了长期护理中多学科方法的必要性。
