Mameledzija M, Nasrallah E, Hatrich M. Hypotension Unresponsive to Fluid Resuscitation: A Case Report.
Clin Pract Cases Emerg Med 2022;
6:236-239. [PMID:
36049191 PMCID:
PMC9436499 DOI:
10.5811/cpcem.2022.4.55896]
[Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/12/2022] [Accepted: 04/29/2022] [Indexed: 11/21/2022] Open
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.
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