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Ann Fr Anesth Reanim · Nov 2003
Case Reports[A puzzling circulatory failure after total hip replacement].
- F Schneider, P Assemi, A Ba Faye, B Sauer, and P Lutun.
- Services de réanimation médicale, hôpital de Hautepierre, hôpitaux universitaires de Strasbourg, 67098 Strasbourg, France. francis.schneider@chru-strasbourg.fr
- Ann Fr Anesth Reanim. 2003 Nov 1; 22 (9): 818-21.
AbstractThe diagnosis of acute circulatory failure in the postoperative course of hip replacement must concentrate on frequent complications, but rare complications requiring specific treatment must also be diagnosed. We report on the occurrence of a case of acute adrenal insufficiency subsequent to enoxaparin-induced type II thrombocytopenia. A delay was necessary to establish a correct diagnosis for two reasons: (1) an unusual clinical presentation and (2) an underevaluation of the medical risk during the preoperative visit. The evolution was nevertheless favorable after prescription of steroids that had to be prescribed chronically.
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