Doctors at the Central Hospital for Tropical Diseases have successfully treated a complex and rare case: patient L.N.P, 65 years old, a Mong ethnic group (Meo Vac, Tuyen Quang) with many dangerous diseases at the same time.
Mr. P had a history of acidosis and was hospitalized with severe soft tissue inflammation, necrosis of the forehead and hand. The patient was actively treated with antibiotics, had the necrosis removed and was preparing for a skin transplant. However, during treatment, he developed severe anemia and thrombocytopenia: the amount of pigmented blood was below 55g/l, platelets were below 30g/l, despite continuous blood transfusion. This made him unqualified to undergo a skin transplant.
Faced with the critical situation, doctors from the Department of Hematology and Blood Transfusion stepped in. Through in-depth examination and testing, the patient was diagnosed with autoimmune thrombocytopenia combined with immune thrombocytopenia. Patients are treated with an immunosuppression regimen, combined with blood transfusion and nutritional care. After only 10 days, the condition improved significantly: The pigmented blood increased to more than 100g/l, the platelet count returned to normal without a blood transfusion. The patient is eligible for a skin transplant.
After 1.5 months of treatment, with the coordination of many specialties such as Hematology, Surgery, Internal Medicine, Nutrition, the patient fully recovered. Stable health, no more anemia, reduced platelets and transplanted skin areas develop well. The patient was discharged from the hospital and continued outpatient treatment.
According to Dr. Phan Thi Thanh Hoa - Department of Hematology - Blood Transfusion: Self-immune anemia and immune thrombocytopenia are common in patients with infections or due to side effects of drugs. The body produces antibodies against red blood cells and platelets, causing them to be destroyed. If not treated properly, the patient will have to depend on blood transfusion and may die from anemia or bleeding".
