Subject(s)
Pelvic Organ Prolapse , Polycystic Kidney, Autosomal Dominant , Humans , Female , Tolvaptan/therapeutic use , Polycystic Kidney, Autosomal Dominant/complications , Polycystic Kidney, Autosomal Dominant/drug therapy , Antidiuretic Hormone Receptor Antagonists/therapeutic use , Glomerular Filtration RateSubject(s)
Humans , Male , Middle Aged , Nephrology , Bacteremia/diagnosis , Bacteremia/therapy , Renal Dialysis/adverse effectsABSTRACT
No disponible
Subject(s)
Humans , Female , Young Adult , Heart Neoplasms/diagnosis , Neoplastic Syndromes, Hereditary/diagnosis , Paraganglioma/diagnosis , Pericardium , Point Mutation , Succinate Dehydrogenase/genetics , Genetic Markers , Heart Neoplasms/genetics , Neoplastic Syndromes, Hereditary/genetics , Paraganglioma/geneticsABSTRACT
Se presenta el caso de un paciente con un diagnóstico de probabilidad de trombocitopenia inmune inducida por heparina (TIH II) con base en criterios clínicos y test de ELISA positivo, en que la urgencia terapéutica fue determinante ante la gravedad del proceso. La suspensión de heparina y la administración de argatroban solventaron la ineficacia de la diálisis debida a coagulación repetida del circuito y catéter, permitiendo el paso a diálisis peritoneal sin mayores contratiempos. Consideramos prioritaria la toma de decisiones antes de certificar la seguridad diagnóstica (AU)
We present the case of a patient diagnosed with likely immune heparin-induced thrombocytopenia (HIT II) based on clinical criteria and a positive ELISA test, in which emergency treatment was crucial, given the seriousness of the process. The discontinuation of heparin and administration of argatroban resolved inefficiency of dialysis resulting from repeated coagulation of the circuit and catheter, allowing peritoneal dialysis without further setbacks. We consider decision-making to be a priority before certifying diagnostic confidence (AU)
Subject(s)
Humans , Male , Aged , Thrombocytopenia/chemically induced , Heparin/adverse effects , Anticoagulants/therapeutic use , Renal Dialysis/methods , Renal Insufficiency, Chronic/complications , Platelet Factor 4/analysisABSTRACT
We present the case of a patient diagnosed with likely immune heparin-induced thrombocytopenia (HIT II) based on clinical criteria and a positive ELISA test, in which emergency treatment was crucial, given the seriousness of the process. The discontinuation of heparin and administration of argatroban resolved inefficiency of dialysis resulting from repeated coagulation of the circuit and catheter, allowing peritoneal dialysis without further setbacks. We consider decision-making to be a priority before certifying diagnostic confidence.
