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Paediatric anaesthesia · Feb 2013
Case ReportsMeningococcemia and heparin-induced thrombocytopenia: a dangerous combination.
- Elena Mozzo, Enrico Vidal, Andrea Pettenazzo, and Angela Amigoni.
- Department of Pediatrics, University of Padova, Padova, Italy. elemozzo83@yahoo.it
- Paediatr Anaesth. 2013 Feb 1; 23 (2): 197199197-9.
AbstractWe present a dramatic case of a patient presenting with disseminated intravascular coagulation related to meningococcal sepsis who developed heparin-induced thrombocytopenia following heparin administration during continuous renal replacement therapy. Association of these two prothrombotic conditions led to severe limbs ischemia and finally to bilateral legs amputation. We stress the importance of suspect heparin-induced thrombocytopenia in intensive care unit patients, especially when an improvement of other coagulation parameters is observed, and heparin therapy was started.© 2012 Blackwell Publishing Ltd.
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