Thrombotic thrombocytopenic purpura following influenza vaccination: a case report

 

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Autoři: Guardia Schoenfeld, Diana, Morales Navarro, Karla, Guzmán Cervantes, Rodolfo, Monge Bonilla, Cecilia
Médium: artículo original
Stav:Versión publicada
Datum vydání:2011
Popis: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.  
Země:Portal de Revistas UCR
Instituce:Universidad de Costa Rica
Repositorio:Portal de Revistas UCR
Jazyk:Español
OAI Identifier:oai:archivo.portal.ucr.ac.cr:article/7865
On-line přístup:https://archivo.revistas.ucr.ac.cr/index.php/medica/article/view/7865
Klíčové slovo:trombótica trombocitopénica (PTT)
factor von Willebrand
ADAMTS13
vacuna influenza
Thrombotic thrombocytopenic purpura (TTP)
von Willebrand factor (vWF)
influenza vaccination