Multiple brain abscesses in a child with autoimmune hemolytic anemia.
A 14-year-old female with autoimmune hemolytic anemia (AIHA) developed an acute hemolytic crisis with acute renal failure under conventional treatment with corticosteroids. Because of the life-threatening situation, we decided to start pulse dose methylprednisolone and also hemodialysis with a femoral catheter placement was performed. Fifteen days after initiating of dialysis subfebrile fever was developed, followed within 2 days with a left hemiparesis. Brain magnetic resonance imaging (MRI) revealed multiple intracerebral abscesses. The clinical picture worsened and the patient died before scheduled surgery for the abscesses.
Bay
Ali
A
Division of Hematology, Yuzuncu Yil University Faculty of Medicine, Van, Turkey. bayalibay@yahoo.com
Yilmaz
Nebi
N
Nalbantoglu
Ozlem
O
Yilmaz
Cahide
C
Etlik
Omer
O
Faik Oner
Ahmet
A
D000293:Adolescent; D000305:Adrenal Cortex Hormones / Q000009:adverse effects; D000744:Anemia, Hemolytic, Autoimmune / Q000150:complications* / Q000175:diagnosis / Q000628:therapy; D001922:Brain Abscess / Q000175:diagnosis / Q000209:etiology* / Q000628:therapy; D002405:Catheterization, Central Venous / Q000379:methods; D017809:Fatal Outcome; D005260:Female; D005268:Femoral Vein / Q000601:surgery; D006801:Humans; D008279:Magnetic Resonance Imaging; D008775:Methylprednisolone / Q000627:therapeutic use; D006435:Renal Dialysis / Q000379:methods
D000305:Adrenal Cortex Hormones; D008775:Methylprednisolone