A teenager presents with fulminant hepatic failure and acute hemolytic anemia.
A teenager was admitted to an outside hospital ED following an episode of melena. He had been complaining of intermittent abdominal pain, nausea, malaise, and easy fatigability for 2 months, with significant worsening of symptoms 2 weeks prior to this episode. He had no significant medical, surgical, or family history. On presentation at the outside ED, he was found to be profoundly icteric and encephalopathic. Initial laboratories suggested anemia, acute kidney injury, and acute liver failure, leading to a presumptive diagnosis of acute fulminant liver failure necessitating transfer to our institution.
From Critical Care Anesthesiology, Outcomes Research, and Cleveland Clinic Lerner College of Medicine, Anesthesiology Institute, Cleveland Clinic Foundation, Cleveland, OH.. Electronic address: somnathbose@gmail.com.
Somnath
S
Bose
Outcomes Research, Anesthesiology Institute, Cleveland Clinic Foundation, Cleveland, OH.
Abraham
A
Sonny
Cleveland Clinic Lerner College of Medicine, Anesthesiology Institute, Cleveland Clinic Foundation, Cleveland, OH.
Nadeem
N
Rahman
D000208:Acute Disease; D000293:Adolescent; D000743:Anemia, Hemolytic / Q000097:blood / Q000175:diagnosis / Q000209:etiology*; D002570:Ceruloplasmin / Q000378:metabolism; D003300:Copper / Q000097:blood; D017809:Fatal Outcome; D006527:Hepatolenticular Degeneration / Q000097:blood / Q000150:complications* / Q000175:diagnosis; D006801:Humans; D017114:Liver Failure, Acute / Q000097:blood / Q000175:diagnosis / Q000209:etiology*; D008297:Male
D003300:Copper; D002570:Ceruloplasmin