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A case of anorexia nervosa with disseminated intravascular coagulation syndrome.
MedLine Citation:
PMID:  22407868     Owner:  NLM     Status:  In-Data-Review    
Abstract/OtherAbstract:
A 36-year-old Japanese woman with anorexia nervosa (AN) was admitted to our department because of severe emaciation. Although we were thorough in her clinical management and were careful to avoid precipitating refeeding syndrome, disseminated intravascular coagulation (DIC) developed 3 weeks after hospitalization. We treated her for DIC with sepsis using anticoagulants, protease inhibitors, antithrombin, and platelet concentrate transfusion. To treat her bacterial infection, we administered antimicrobial drugs and immunoglobulin. We began probiotic and prebiotic (synbiotics) treatment for bacterial translocation. We think that the prevention of sepsis via bacterial translocation is an important aspect of care for patients with severe AN in addition to the prevention of refeeding syndrome. © 2011 by Wiley Periodicals, Inc. (Int J Eat Disord 2012).
Authors:
Izumi Haruta; Akihiro Asakawa; Kazuma Ogiso; Haruka Amitani; Marie Amitani; Minglun Tsai; Satoshi Hamada; Akio Inui
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Publication Detail:
Type:  Journal Article     Date:  2011-08-30
Journal Detail:
Title:  The International journal of eating disorders     Volume:  45     ISSN:  1098-108X     ISO Abbreviation:  Int J Eat Disord     Publication Date:  2012 Apr 
Date Detail:
Created Date:  2012-03-12     Completed Date:  -     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  8111226     Medline TA:  Int J Eat Disord     Country:  United States    
Other Details:
Languages:  eng     Pagination:  453-5     Citation Subset:  IM    
Copyright Information:
Copyright © 2011 Wiley Periodicals, Inc.
Affiliation:
Department of Psychosomatic Internal Medicine, Kagoshima University Graduate School of Medical and Dental Sciences, 8-35-1 Sakuragaoka, Kagoshima 890-8520, Japan.
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