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. 2022 Aug;6(3):236-239.
doi: 10.5811/cpcem.2022.4.55896.

Hypotension Unresponsive to Fluid Resuscitation: A Case Report

Mahir Mameledzija  1 , Erin Nasrallah  2 , Molly Hartrich  1
Affiliations

Hypotension Unresponsive to Fluid Resuscitation: A Case Report

Mahir Mameledzija et al. Clin Pract Cases Emerg Med. 2022 Aug.

Abstract

Introduction: Iron deficiency anemia is commonly seen in the emergency department (ED), and the cause can be complex and variable.

Case report: We present a case of a female without known medical history who presented to the ED for generalized weakness and was found to have severe anemia in the setting of chronic lice infestation.

Conclusion: Severe and chronic pediculosis can cause chronic blood loss and be an unusual and rare cause of iron deficiency anemia. In the setting of anemia and hypotension unresponsive to fluid resuscitation, consideration should be given to early packed red blood cell transfusion and subsequent investigation of causes of severe anemia.

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Conflict of interest statement

Conflicts of Interest: By the CPC-EM article submission agreement, all authors are required to disclose all affiliations, funding sources and financial or management relationships that could be perceived as potential sources of bias. The authors disclosed none.

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