Abstract

RODRIGUEZ ALVAREZ, Leonel. Presentación de un caso de neumonía asociada con drepanocitemia. Rev Eug Esp [online]. 2023, vol.17, n.1, pp.108-118. ISSN 2661-6742.  https://doi.org/10.37135/ee.04.16.11.

Sickle cell anemia or hemoglobin S is a genetic disease caused by the mutation of the HBB gene (11p15.4) on chromosome 11. A case of a 19-year-old Afro-descendant male patient with a fever of 38 to 39°C is, associated with cough, expectoration greenish color, and general malaise of three days of evolution is presented. He was diagnosed with community-acquired bacterial pneumonia and indefinite anemia. Radiological studies showed cardiomegaly. Abdominal ultrasound revealed a normal-sized liver, decreased echogenicity and fine granular echostructure in both kidneys, prominence of the walls of the portal vessels, compression of the renal sinus with poor sinus-parenchyma differentiation, spleen not visible, and pancreas of standard characteristic. Thus, it was necessary to corroborate the possible condition of Sicklemia, being confirmed. Antibiotic therapy and parenteral iron administration improved and made discharge possible; however, the affectations in the target organs had already caused the general deterioration of the patient's state of health.

Keywords : Anemia Hemolytic; Pneumonia; Blood Protein Electrophoresis; Splenic Infarction.

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