Thrombotic thrombocytopenic purpura following influenza vaccination: a case report

 

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Autoren: Guardia Schoenfeld, Diana, Morales Navarro, Karla, Guzmán Cervantes, Rodolfo, Monge Bonilla, Cecilia
Format: artículo original
Status:Versión publicada
Publikationsdatum:2011
Beschreibung:Thrombotic thrombocytopenic purpura (TTP) is a life-threatening syndrome characterized by microangiopathic hemolytic anemia, thrombocytopenia, and microvascular thrombi resulting in damage to multiple organ systems.  We present the case of a 69-year old male who presented with thrombocytopenia, jaundice, epigastric pain and altered mental status 5 days after receiving an influenza vaccination.  Unfortunately, the clinical presentation was fulminant leading to death before the diagnosis of TTP and treatment with plasma exchange was done. Postmortem examination showed the diagnosis of TTP.  ADAMTS13 deficiency has been well documented as involved in the pathogenesis of TTP.  Auto-antibodies against ADAMTS13 have also been implicated in many cases, but rarely with a trigger such as the influenza vaccination.  
Land:Portal de Revistas UCR
Institution:Universidad de Costa Rica
Repositorio:Portal de Revistas UCR
Sprache:Español
OAI Identifier:oai:portal.ucr.ac.cr:article/7865
Online Zugang:https://revistas.ucr.ac.cr/index.php/medica/article/view/7865
Stichwort:trombótica trombocitopénica (PTT)
factor von Willebrand
ADAMTS13
vacuna influenza
Thrombotic thrombocytopenic purpura (TTP)
von Willebrand factor (vWF)
influenza vaccination