[From gastroenteritis complicated by acute renal failure to... the Moschcowitz syndrome].
A case of a 68-year-old male patient, who was admitted to our department with stomach pain, nausea, vomiting and diarrhea lasting for more than two weeks is presented. In addition, shortly before being admitted, the patient also complained of neurological symptoms, severe hypertension, rash and high fever. Laboratory tests revealed thrombocytopenia, hemolytic anemia and elevated creatinine. After receiving the information, that for the last three weeks the patient was taking ticlopidine, we started to suspect the Moschcowitz syndrome. For this reason the patient was transferred to a Hematological Institute, where the diagnosis was confirmed.
Wojciechowska
Małgorzata
M
Katedra i Zakład Patologii Ogólnej i Doświadczalnej, Warszawski Uniwersytet Medyczny, ul. Krakowskie Przedmieście 26/28, 00-927 Warszawa, Poland. gosiawojciech@yahoo.com
Grzywanowska-Łaniewska
Iwona
I
Załeska-Zydlewska
Izabela
I
Dłuzniewski
Mirosław
M
D058186:Acute Kidney Injury / Q000175:diagnosis / Q000209:etiology; D000368:Aged; D003937:Diagnosis, Differential; D005759:Gastroenteritis / Q000175:diagnosis / Q000209:etiology; D006801:Humans; D008297:Male; D010956:Plasmapheresis; D010975:Platelet Aggregation Inhibitors / Q000627:therapeutic use; D011697:Purpura, Thrombotic Thrombocytopenic / Q000175:diagnosis* / Q000628:therapy; D013921:Thrombocytopenia / Q000175:diagnosis / Q000209:etiology; D013988:Ticlopidine / Q000627:therapeutic use
D010975:Platelet Aggregation Inhibitors; D013988:Ticlopidine