A Case Report of Thrombocytopenia-associated Multiple Organ Failure Secondary to Salmonella enterica Serotype Typhi Infection in a Pediatric Patient: Successful Treatment With Plasma Exchange

Yildirim I., CEYHAN M., BAYRAKCİ B., Uysal M., Kuskonmaz B. B., ÖZALTIN F.

THERAPEUTIC APHERESIS AND DIALYSIS, cilt.14, sa.2, ss.226-229, 2010 (SCI-Expanded) identifier identifier identifier

  • Yayın Türü: Makale / Tam Makale
  • Cilt numarası: 14 Sayı: 2
  • Basım Tarihi: 2010
  • Doi Numarası: 10.1111/j.1744-9987.2009.00714.x
  • Dergi Adı: THERAPEUTIC APHERESIS AND DIALYSIS
  • Derginin Tarandığı İndeksler: Science Citation Index Expanded (SCI-EXPANDED), Scopus
  • Sayfa Sayıları: ss.226-229
  • Anahtar Kelimeler: Children, Plasma exchange, Salmonella enterica serotype Typhi, Thrombocytopenia-associated multiple organ failure, SEPTIC SHOCK, PERFUSION, SEPSIS
  • Hacettepe Üniversitesi Adresli: Evet

Özet

A high proportion of the patients with Salmonella enterica serotype Typhi infection develop severe sepsis. The mortality rate is high despite aggressive antimicrobial therapy in these patients. The case of a 10-year-old boy who developed thrombocytopenia-associated multiple organ failure (TAMOF) secondary to S. typhi infection is reported. The patient did not respond to antimicrobial treatment, including ciprofloxacin, in addition to conventional supportive measures, so plasma exchange was performed. The thrombocytopenia and organ failure had resolved after 3 days of plasma exchange therapy. Plasma exchange is suggested to be a life-saving intervention in a child with TAMOF secondary to S. typhi infection.