Thrombotic thrombocytopenic purpura following influenza vaccination: a case report

 

محفوظ في:
التفاصيل البيبلوغرافية
المؤلفون: Guardia Schoenfeld, Diana, Morales Navarro, Karla, Guzmán Cervantes, Rodolfo, Monge Bonilla, Cecilia
التنسيق: artículo original
الحالة:Versión publicada
تاريخ النشر:2011
الوصف: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.  
البلد:Portal de Revistas UCR
المؤسسة:Universidad de Costa Rica
Repositorio:Portal de Revistas UCR
اللغة:Español
OAI Identifier:oai:archivo.portal.ucr.ac.cr:article/7865
الوصول للمادة أونلاين:https://archivo.revistas.ucr.ac.cr/index.php/medica/article/view/7865
كلمة مفتاحية:trombótica trombocitopénica (PTT)
factor von Willebrand
ADAMTS13
vacuna influenza
Thrombotic thrombocytopenic purpura (TTP)
von Willebrand factor (vWF)
influenza vaccination