A rare presentation of micro-angiopathic haemolytic anaemia in a critically ill patient: a case report.
A 36-year-old woman presents to hospital peri-arrest with hypertension, sustained loss of consciousness following a tonic clonic seizure and a micropathic haemolytic anaemia on blood film. After initial resuscitation, more specialised treatment was instigated as the diagnosis became clearer but all was not as it first seemed. This case demonstrates the importance of re-examination, especially in the critically ill, in conjunction with unusual laboratory tests in order to eventually reach a rare diagnosis of a rare presentation.
Vivian
Mark
M
General Intensive Care Unit, 1 Floor St James Wing, St George's Hospital Tooting, London SW19 0QT UK. markvivian@doctors.net.uk
Kirwan
Chris
C
Grounds
Mike
M