TREATMENT AND FOLLOW-UP:
With regard to the treatment this patient received, it was mainly
supportive in nature since we did not confirm the diagnosis this patient
may have. The patient was hypotensive and immediately received two
Normal saline units of 0.9 % 500 ml infusion in the emergency room and
was requested to do the route investigations.
On-ward patient immediately received Ceftriaxone 1gm IV and was
requested to do peripheral blood picture which revealed
anisopoikilocytosis and severe microcytic hypochromic cells.
For the second, third and fourth day the patient received 3 units of
blood. She continued to have Ceftriaxone 1gm IV injections and potassium
citrate powder. The patient remarkably improved. Her platelet count was
followed on the 4th day which showed improvement to (720 ×10^3 /µl).
The patient was followed up in the referred clinic for a period of 12
days with no significant complications and another platelet count
followed 8 days after discharge which was normal (260 × 10^3 /µl).
Finally, the patient was requested to do iron studies and a bone marrow
biopsy but she neglected to continue the investigation. No further
workup was done as the patient’s symptoms and conditions improved
rapidly and the patient refused to come to the follow-up.