000			01950nam a2200289 4500
001			ESSALUD
005			20260805101914.0
007			ta
008			t pe ||||| |||| 00| 0 spa d
040			_aBMG
041			_aeng
100			_aAird, William C. _eAutor _953919
245			_aCase 17-2026: A 74-Year-Old Man with Pancytopenia
300			_apáginas: 2357-2368
520			_aA 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.
650			_aANEMIA _97417
650			_aCARDIOLOGÍA _911301
650			_aCARDIOMIOPATIA _937409
650			_aMIOCARDITIS _938353
650			_aTRASPLANTE _97847
700			_aVan-Khue Ton _953920
700			_aSultana, Sadia _953921
700			_aAzar, Sharl S. _953922
700			_aKotton, Camille N. _953923
773	0		_022717 _922640 _dMassachusetts NEJM Group _oNEJM007 _tThe New England Journal of Medicine _wESSALUD _x0028-4793
942			_cARTICULOS _e2026-08-03 _zSQB
999			_c22771 _d22771