Severe anemia: a case report

Anemia refers to a hemoglobin or hematocrit level lower than the age-adjusted reference range in healthy children and adults. Anemia is not a specifi c disease entity but is a condition caused by various underlying pathologic processes. The clinical effects of anemia depend on its duration and sever...

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Main Authors: Amra Macić Džanković, Anela Šubo
Format: Article
Language:English
Published: University of Sarajevo 2011-09-01
Series:Journal of Health Sciences
Subjects:
Online Access:https://www.jhsci.ba/ojs/index.php/jhsci/article/view/52
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author Amra Macić Džanković
Anela Šubo
author_facet Amra Macić Džanković
Anela Šubo
author_sort Amra Macić Džanković
collection DOAJ
description Anemia refers to a hemoglobin or hematocrit level lower than the age-adjusted reference range in healthy children and adults. Anemia is not a specifi c disease entity but is a condition caused by various underlying pathologic processes. The clinical effects of anemia depend on its duration and severity. When a precipitous drop in the hemoglobin or hematocrit level occurs (eg, due to massive bleeding), the clinical presentation is typically dramatic and can be fatal if the patient is not immediately treated. Even then, mortality risk is very high. We report the case of a 76-year-old woman with clinical symptoms and laboratory confirmation of severe anemia with level of hemoglobin 24 g/l, and hematocrit 0.08. Anemia was a sign of malignoma of the stomach, later patohistologicaly verifi ed gastric adenocarcinoma. Aim of management is to prevent tissue hypoxia by maintaining an adequate circulating volume and oxiform capacity. However, as shown in this case, the very rapid correction of anemia and the circulatory volume does not decrease the risk of fatal outcome
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spelling doaj.art-b32a8a044c1f4121b9359fdb1ff5490c2022-12-22T01:52:19ZengUniversity of SarajevoJournal of Health Sciences2232-75761986-80492011-09-011210.17532/jhsci.2011.12352Severe anemia: a case reportAmra Macić Džanković0Anela Šubo1Department of Internal medicine - Cardiology, General hospital “Prim. Dr Abdulah Nakaš”, Kranjčevićeva 12, 71 000 Sarajevo, Bosnia and Herzegovina.Department of General Practice, Eurofarm Centar Policlinic, Butmirska cesta 14, Ilidža, 71 000 Sarajevo, Bosnia and HerzegovinaAnemia refers to a hemoglobin or hematocrit level lower than the age-adjusted reference range in healthy children and adults. Anemia is not a specifi c disease entity but is a condition caused by various underlying pathologic processes. The clinical effects of anemia depend on its duration and severity. When a precipitous drop in the hemoglobin or hematocrit level occurs (eg, due to massive bleeding), the clinical presentation is typically dramatic and can be fatal if the patient is not immediately treated. Even then, mortality risk is very high. We report the case of a 76-year-old woman with clinical symptoms and laboratory confirmation of severe anemia with level of hemoglobin 24 g/l, and hematocrit 0.08. Anemia was a sign of malignoma of the stomach, later patohistologicaly verifi ed gastric adenocarcinoma. Aim of management is to prevent tissue hypoxia by maintaining an adequate circulating volume and oxiform capacity. However, as shown in this case, the very rapid correction of anemia and the circulatory volume does not decrease the risk of fatal outcomehttps://www.jhsci.ba/ojs/index.php/jhsci/article/view/52anemiagastric adenocarcinomahypovolemic shockblood transfusion
spellingShingle Amra Macić Džanković
Anela Šubo
Severe anemia: a case report
Journal of Health Sciences
anemia
gastric adenocarcinoma
hypovolemic shock
blood transfusion
title Severe anemia: a case report
title_full Severe anemia: a case report
title_fullStr Severe anemia: a case report
title_full_unstemmed Severe anemia: a case report
title_short Severe anemia: a case report
title_sort severe anemia a case report
topic anemia
gastric adenocarcinoma
hypovolemic shock
blood transfusion
url https://www.jhsci.ba/ojs/index.php/jhsci/article/view/52
work_keys_str_mv AT amramacicdzankovic severeanemiaacasereport
AT anelasubo severeanemiaacasereport