RESUMO
Essential thrombocytosis is one of the chronic myeloproliferative disorders that includes polycythemia vera, chronic myelogenous leukemia, and agnogenic myeloid metaplasia. Despite established diagnostic criteria and greater than a quarter century of study, there are still several diagnostic and management dilemmas that plague researchers and clinicians alike. We present a case of essential thrombocytosis in a patient with multiple sequelae.
Assuntos
Trombocitose/diagnóstico , Trombocitose/terapia , Aspirina/uso terapêutico , Doença Crônica , Hemorragia/etiologia , Hemorragia/prevenção & controle , Humanos , Hidroxiureia/uso terapêutico , Interferon-alfa/uso terapêutico , Masculino , Pessoa de Meia-Idade , Quinazolinas/uso terapêutico , Medição de Risco , Trombocitose/complicações , Trombopoese/fisiologiaRESUMO
Vibrio vulnificus is an uncommon but potentially devastating pathogen. Early recognition with prompt antimicrobial therapy and surgical treatment are key factors for a favorable outcome. Patients with diseases of the liver represent the group at highest risk of infection. However, clinicians are often unaware of underlying liver disease in these patients at the time of presentation. We present a case of fulminant V. vulnificus infection in a patient with previously undiagnosed liver disease.