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Hyun Jin Baek 1 Article
Neurosurgery/Hematology
Fatal Intracranial Hemorrhage in a Patient with Disseminated Intravascular Coagulation associated with Sepsis
Hyun Jin Baek, Doo Hyuk Lee, Kyu Hyung Han, Young Min Kim, Hyunbeom Kim, Byeongwook Cho, Inkuk Lee, Kanghyun Choi, Hojin Yong, Goohyeon Hong
Korean J Crit Care Med. 2016;31(2):134-139.   Published online May 31, 2016
DOI: https://doi.org/10.4266/kjccm.2016.31.2.134
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AbstractAbstract PDF
In critically ill patients, disseminated intravascular coagulation (DIC) is a common and fatal hematological disorder. DIC is a physiological response to a variety of underlying stimuli that provoke generalized activation of the hemostatic mechanism and is common in septic patients and those with hematological or non-hematological malignant neoplasms. Bleeding is a common clinical feature, and diffuse or multiple-site mucocutaneous bleeding, such as petechia, ecchymosis and hemorrhage from gastrointestinal tract, is often seen. A 58-year-old male was recently diagnosed with intracranial hemorrhage (ICH) caused by DIC associated with sepsis. Mortality of ICH caused by DIC is very high because the underlying condition cannot be quickly treated. Awareness of the possibility of DIC developing in a critically ill patient and the need for immediate initiation of plasma or platelet replacement therapy are important. To the best of our knowledge, this is the first reported case of intracranial hemorrhage in a Korean patient with DIC associated with sepsis.

Citations

Citations to this article as recorded by  
  • Abdominal mass in a septic infant: Case of a fatal intraluminal intestinal hematoma
    Mana Taweevisit, Paul Scott Thorner
    Pediatric Hematology Oncology Journal.2021; 6(3): 139.     CrossRef
  • Perforated Mesenteric Cyst with Sepsis and Neurological Complication in a 9 Month Old Child
    Mandal KC, Saha D, Halder P, Chakraborty P, Debnath B, Mukhopadhyay B
    Asploro Journal of Pediatrics and Child Health.2020; 2(1): 30.     CrossRef

ACC : Acute and Critical Care