Behind the asthenia

Authors

  • Cristina Martínez-Solís Servicio de Medicina Interna, Hospital General Universitario de Elche, Elche (Alicante), Spain
  • Alejandro de la Torre-Otalora Servicio de Medicina Interna, Hospital General Universitario de Elche, Elche (Alicante), Spain
  • María Andreo-Galera Servicio de Medicina Interna, Hospital General Universitario de Elche, Elche (Alicante), Spain
  • Cristina Bas-Reina Servicio de Medicina Interna, Hospital General Universitario de Elche, Elche (Alicante), Spain
  • Antonia Mora-Rufete Servicio de Medicina Interna, Hospital General Universitario de Elche, Elche (Alicante), Spain

DOI:

https://doi.org/10.32818/reccmi.a5s1a15

Keywords:

mitral prosthesis, constitutional syndrome, adenopathies, hemolytic anemia.

Abstract

A 67-year-old woman diagnosed with heart failure, atrial fibrillation and mitral prosthetic carrier who attends consultations by dyspnea, anemia and constitutional table that after clinical worsening requires admission Internal Medicine plant to complete study and treatment. A comprehensive study is carried out with differential diagnosis of the multiple causes of constitutional syndrome, without great results until the realization of the ETE where a specific finding is revealed that after the proper treatment the clinical picture was resolved as well as a clinical improvement in the patient.

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References

García García MA, Rosero Arenas MA, Íbalos García A, Talavera Peregrina M, Arguedas Cervera J, Torres Tortajada J. Anemia hemolítica en relación con una dehiscencia de prótesis mitral biológica. Med Intensiva. 2004. 28 (9): 470-476. doi: https://doi.org/10.1016/S0210-5691(04)70113-8.

Acharya D, McGiffin DC. Hemolysis after mitral valve repair. J Card Surg. 2013; 28(2): 129-132. doi: https://doi.org/10.1111/jocs.12060.

Lam BK, Cosgrove DM, Bhudia SK, Gillinov AM. Hemolysis after mitral valve repair: mechanisms and treatment. Ann Thorac Surg. 2004; 77(1): 191-5. doi: https://doi.org/10.1016/s0003-4975(03)01455-3.

Shweihat YR, Perry J, Etman Y, Gabi A, Hattab Y, Al-Ourani M, et al. Congestive adenopathy: a mediastinal sequela of volume overload. J Bronchology Interv Pulmonol. 2016; 23(4): 298-302. doi: https://doi.org/10.1097/LBR.0000000000000325.

Senturk A, Karalezli A, Soyturk AN, Hasanoglu HC. A rare cause of crazy- paving and mediastinal lymphadenopathy: congestive heart failure. J Clin Imaging Sci. 2013; 3: 30. doi: https://doi.org/10.4103/2156-7514.115762.

Published

2020-03-31

How to Cite

1.
Martínez-Solís C, Torre-Otalora A de la, Andreo-Galera M, Bas-Reina C, Mora-Rufete A. Behind the asthenia. Rev Esp Casos Clin Med Intern [Internet]. 2020 Mar. 31 [cited 2024 Jul. 3];5:39-41. Available from: https://www.reccmi.com/RECCMI/article/view/522

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