01950nam a2200289 4500 ESSALUD 20260805101914.0 ta t pe ||||| |||| 00| 0 spa d BMG eng Aird, William C. Autor 53919 Case 17-2026: A 74-Year-Old Man with Pancytopenia páginas: 2357-2368 A 74-year-old man was admitted to this hospital because of persistent pancytopenia that had resulted in multiple red-cell transfusions. Three months before the current presentation, the patient underwent heart transplantation after a prolonged admission in the cardiac intensive care unit of this hospital. He had been admitted for decompensated heart failure due to transthyretin amyloid cardiomyopathy, for which he received treatment with infusions of inotropic and diuretic agents. The preoperative course was notable for anemia, for which he received intravenous iron therapy. In addition, the patient had persistent thrombocytopenia that prompted a switch in treatment from heparin to a direct thrombin inhibitor, despite the fact that testing for antibodies against platelet factor 4 was negative. Serologic testing performed before transplantation was positive for Epstein–Barr virus (EBV) IgG, negative for cytomegalovirus (CMV) IgG, and negative for toxoplasma IgG. Serologic testing in the donor was positive for EBV IgG and CMV IgG and negative for toxoplasma IgG. ANEMIA 7417 CARDIOLOGÍA 11301 CARDIOMIOPATIA 37409 MIOCARDITIS 38353 TRASPLANTE 7847 Van-Khue Ton 53920 Sultana, Sadia 53921 Azar, Sharl S. 53922 Kotton, Camille N. 53923 22717 22640 Massachusetts NEJM Group NEJM007 The New England Journal of Medicine ESSALUD 0028-4793 ARTICULOS 2026-08-03 SQB 22771 22771