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| Format: | Artículo científico |
| Language: | en |
| Published: |
Universidad Nacional de Colombia
2017
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| Online Access: | https://www.redalyc.org/articulo.oa?id=560959297003 https://www.redalyc.org/journal/5609/560959297003/ https://www.redalyc.org/journal/5609/560959297003/html/ https://www.redalyc.org/journal/5609/560959297003/560959297003.epub https://www.redalyc.org/journal/5609/560959297003/movil |
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Table of Contents:
- SPLENIC RUPTURE ASSOCIATED WITH THROMBOCYTOPENIC PURPURA CAUSED BY INFECTIOUS MONONUCLEOSIS. CASE REPORT Alicia Santa Cortés-González Verónica García-Torres Rocío Maily Vázquez-Martínez Nataly Yazmín Cortés-Trujillo Uziel Suarez-Cruz Medicina Epstein Purpura Infection Barr virus Spleen Rupture Introduction. Splenic rupture associated with thrombocytopenic purpura caused by infectious mononucleosis is extremely rare. The evolution of patients with infectious mononucleosis associated with Epstein-Barr virus is favorable, self-limiting and does not require specific therapeutic interventions. The symptoms are well tolerated and have a low frequency of complications. Case presentation. Female 12-year-old patient presenting with diffuse abdominal pain, distension, nausea, tegument pallor and un-quantified fever for two days. Upon admission to the emergency department, hemodynamic decompensation, purpuric lesions and ecchymosis in the limbs were observed. Laboratory and cabinet studies were carried out to confirm anemia, thrombocytopenia and splenic hematoma. Finally, an exploratory laparotomy was performed considering the possibility of hemoperitoneum.Results. The patient presented with splenomegaly, broken subcapsular hematoma, bleeding of 4000mL and accessory spleen lobe with splenic rupture. Conclusions. Spontaneous splenic rupture is a rare but possible complication of infectious diseases. However, its association with thrombocytopenic purpura is extremely rare. 2017 otro 2462-8522 https://www.redalyc.org/articulo.oa?id=560959297003 https://www.redalyc.org/journal/5609/560959297003/ https://www.redalyc.org/journal/5609/560959297003/html/ https://www.redalyc.org/journal/5609/560959297003/560959297003.epub https://www.redalyc.org/journal/5609/560959297003/movil 10.15446/cr.v3n2.62194 en http://www.redalyc.org/revista.oa?id=5609 Case reports application/pdf Universidad Nacional de Colombia Case reports (Colombia) Num.2 Vol.3