Jehovah’s Witness survives severe favism complications: Advance provisions of treatment and new challenges for the physicians
The management of an acute hemolytic event in a patient suffering from favism is based on transfusion support to ensure adequate tissue oxygenation. If this measure could not be pursued, in case of severe anemia the risk of death from multiorgan failure would be relevant. Most of Jehovah’s Witness d...
| Main Authors: | , , , , , |
|---|---|
| Format: | Article |
| Language: | English |
| Published: |
PAGEPress Publications
2021-06-01
|
| Series: | Emergency Care Journal |
| Subjects: | |
| Online Access: | https://www.pagepressjournals.org/index.php/ecj/article/view/9738 |
| _version_ | 1818056070565724160 |
|---|---|
| author | Massimo Salvetti Sara Capellini Paola Delbon Francesca Maghin Maria Lorenza Muiesan Adelaide Conti |
| author_facet | Massimo Salvetti Sara Capellini Paola Delbon Francesca Maghin Maria Lorenza Muiesan Adelaide Conti |
| author_sort | Massimo Salvetti |
| collection | DOAJ |
| description | The management of an acute hemolytic event in a patient suffering from favism is based on transfusion support to ensure adequate tissue oxygenation. If this measure could not be pursued, in case of severe anemia the risk of death from multiorgan failure would be relevant. Most of Jehovah’s Witness decline transfusion of whole blood and its main components, even in life-threatening situations. In this context, the treatment of severe anemia in these patients still represents a challenge from both medical and legal stand points. Authors report a case of a Jehovah’s Witness suffering from favism who refused blood transfusion, surviving a severe event of critical anemia associated with acute renal failure, thanks to the application of alternative therapies. It is essential that clinicians know the medico-legal aspects in such situations and are able to act promptly to support the patient’s vital functions, by complying with his/her wishes. |
| first_indexed | 2024-12-10T12:23:00Z |
| format | Article |
| id | doaj.art-aac890afc0da44c8a92862b8965b8fd4 |
| institution | Directory Open Access Journal |
| issn | 1826-9826 2282-2054 |
| language | English |
| last_indexed | 2024-12-10T12:23:00Z |
| publishDate | 2021-06-01 |
| publisher | PAGEPress Publications |
| record_format | Article |
| series | Emergency Care Journal |
| spelling | doaj.art-aac890afc0da44c8a92862b8965b8fd42022-12-22T01:49:02ZengPAGEPress PublicationsEmergency Care Journal1826-98262282-20542021-06-0117210.4081/ecj.2021.9738Jehovah’s Witness survives severe favism complications: Advance provisions of treatment and new challenges for the physiciansMassimo Salvetti0Sara Capellini1Paola Delbon2Francesca Maghin3Maria Lorenza Muiesan4Adelaide Conti5Internal Medicine, Department of Clinical and Experimental Sciences, University of Brescia and ASST Spedali Civili of Brescia1Internal Medicine, Department of Clinical and Experimental Sciences, University of Brescia and ASST Spedali Civili of BresciaCentre of Bioethics Research, Department of Medical and Surgical Specialties, Radiological Sciences and Public Health, University of BresciaForensic Medicine Unit, Department of Medical and Surgical Specialties, Radiological Sciences and Public Health, University of Brescia and ASST Spedali Civili of Brescia, BresciaInternal Medicine, Department of Clinical and Experimental Sciences, University of Brescia and ASST Spedali Civili of Brescia2Centre of Bioethics Research, Department of Medical and Surgical Specialties, Radiological Sciences and Public Health, University of Brescia; Forensic Medicine Unit, Department of Medical and Surgical Specialties, Radiological Sciences and Public Health, University of Brescia and ASST Spedali Civili of Brescia, BresciaThe management of an acute hemolytic event in a patient suffering from favism is based on transfusion support to ensure adequate tissue oxygenation. If this measure could not be pursued, in case of severe anemia the risk of death from multiorgan failure would be relevant. Most of Jehovah’s Witness decline transfusion of whole blood and its main components, even in life-threatening situations. In this context, the treatment of severe anemia in these patients still represents a challenge from both medical and legal stand points. Authors report a case of a Jehovah’s Witness suffering from favism who refused blood transfusion, surviving a severe event of critical anemia associated with acute renal failure, thanks to the application of alternative therapies. It is essential that clinicians know the medico-legal aspects in such situations and are able to act promptly to support the patient’s vital functions, by complying with his/her wishes.https://www.pagepressjournals.org/index.php/ecj/article/view/9738Hemolytic anemiafavismJehovah’s WitnessGlucose-6- Phosphate-Deydrogenaseblood transfusion |
| spellingShingle | Massimo Salvetti Sara Capellini Paola Delbon Francesca Maghin Maria Lorenza Muiesan Adelaide Conti Jehovah’s Witness survives severe favism complications: Advance provisions of treatment and new challenges for the physicians Emergency Care Journal Hemolytic anemia favism Jehovah’s Witness Glucose-6- Phosphate-Deydrogenase blood transfusion |
| title | Jehovah’s Witness survives severe favism complications: Advance provisions of treatment and new challenges for the physicians |
| title_full | Jehovah’s Witness survives severe favism complications: Advance provisions of treatment and new challenges for the physicians |
| title_fullStr | Jehovah’s Witness survives severe favism complications: Advance provisions of treatment and new challenges for the physicians |
| title_full_unstemmed | Jehovah’s Witness survives severe favism complications: Advance provisions of treatment and new challenges for the physicians |
| title_short | Jehovah’s Witness survives severe favism complications: Advance provisions of treatment and new challenges for the physicians |
| title_sort | jehovah s witness survives severe favism complications advance provisions of treatment and new challenges for the physicians |
| topic | Hemolytic anemia favism Jehovah’s Witness Glucose-6- Phosphate-Deydrogenase blood transfusion |
| url | https://www.pagepressjournals.org/index.php/ecj/article/view/9738 |
| work_keys_str_mv | AT massimosalvetti jehovahswitnesssurvivesseverefavismcomplicationsadvanceprovisionsoftreatmentandnewchallengesforthephysicians AT saracapellini jehovahswitnesssurvivesseverefavismcomplicationsadvanceprovisionsoftreatmentandnewchallengesforthephysicians AT paoladelbon jehovahswitnesssurvivesseverefavismcomplicationsadvanceprovisionsoftreatmentandnewchallengesforthephysicians AT francescamaghin jehovahswitnesssurvivesseverefavismcomplicationsadvanceprovisionsoftreatmentandnewchallengesforthephysicians AT marialorenzamuiesan jehovahswitnesssurvivesseverefavismcomplicationsadvanceprovisionsoftreatmentandnewchallengesforthephysicians AT adelaideconti jehovahswitnesssurvivesseverefavismcomplicationsadvanceprovisionsoftreatmentandnewchallengesforthephysicians |