Assuntos
Prolapso de Órgão Pélvico , Rim Policístico Autossômico Dominante , Humanos , Feminino , Tolvaptan/uso terapêutico , Rim Policístico Autossômico Dominante/complicações , Rim Policístico Autossômico Dominante/tratamento farmacológico , Antagonistas dos Receptores de Hormônios Antidiuréticos/uso terapêutico , Taxa de Filtração GlomerularRESUMO
No disponible
Assuntos
Humanos , Feminino , Adulto Jovem , Neoplasias Cardíacas/diagnóstico , Síndromes Neoplásicas Hereditárias/diagnóstico , Paraganglioma/diagnóstico , Pericárdio , Mutação Puntual , Succinato Desidrogenase/genética , Marcadores Genéticos , Neoplasias Cardíacas/genética , Síndromes Neoplásicas Hereditárias/genética , Paraganglioma/genéticaRESUMO
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)
Assuntos
Humanos , Masculino , Idoso , Trombocitopenia/induzido quimicamente , Heparina/efeitos adversos , Anticoagulantes/uso terapêutico , Diálise Renal/métodos , Insuficiência Renal Crônica/complicações , Fator Plaquetário 4/análiseRESUMO
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.
