1/4
CASE - follow up
Lots of great answers to case posted yesterday of 53 yo M with hemolytic anemia, thrombocytopenia and transaminitis.
Shout out to none other than Papa Heme @AaronGoodman33 for nailing the diagnosis - Babesiosis
CASE - follow up
Lots of great answers to case posted yesterday of 53 yo M with hemolytic anemia, thrombocytopenia and transaminitis.
Shout out to none other than Papa Heme @AaronGoodman33 for nailing the diagnosis - Babesiosis
2/4
Graphic #1 shows ddx of anemia and thrombocytopenia side by side.
Graphic #1 shows ddx of anemia and thrombocytopenia side by side.
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Graphic #2 shows conditions (in red) that are more likely to be associated with both anemia and thrombocytopenia compared with those (in light gray) that are not.
Graphic #2 shows conditions (in red) that are more likely to be associated with both anemia and thrombocytopenia compared with those (in light gray) that are not.
4/4
Now factor in transaminitis and the ddx (assuming one overarching cause) narrows to babesiosis and HLH. From a pretest probability standpoint (I live in MA) babesiosis is most likely.
For step by step analysis and review of babesiosis, see:
thebloodproject.com
Now factor in transaminitis and the ddx (assuming one overarching cause) narrows to babesiosis and HLH. From a pretest probability standpoint (I live in MA) babesiosis is most likely.
For step by step analysis and review of babesiosis, see:
thebloodproject.com
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