The role of plasmapheresis in adult respiratory distressed syndrome due to meningococcemia with disseminated intravascular coagulation - a case report

Leonidas Grigorakos, Athanasios Moles, Anastasia Alexopoulou, Zoi Psomadaki, Christos Gialamas, Heliodoros Mantzivis, Charalampos Ladakis

Abstract


Background: The aim of the present case report is to assess the efficiency of plasmapheresis in patients detected with meningococcemia since this procedure seems to lower circulating levels of endotoxin while it may also eliminate activated complement, clotting factors and lysosomal enzymes resulting from thromboplastin and activated granulocytes.

Objective: Pay attention to plasmapheresis in Adult Respiratory Distressed Syndrome (ARDS) due to meningococcemia with disseminated intravascular coagulation (DIC).

Material and methods: A 23-year-old woman with no prior medical history has been monitored for 14 days after being admitted with a 12-hour history of vomiting, headache, confusion, and hypothermia (35.6ºC).

Results: Plasmapheresis had been used as adjunctive therapy during septic shock.

Conclusion: Patient was treated with five sessions of plasmapheresis and recovered without sequelae. No complications associated with this procedure were observed.


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DOI: https://doi.org/10.5430/crim.v2n4p1

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Case Reports in Internal Medicine

ISSN 2332-7243(Print)  ISSN 2332-7251(Online)

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