Evidence map›Paper›PMID 39027862›Full record

ArticleJournal of family medicine and primary care2024

Role of plasma exchange in a post-partum case of severe thrombotic thrombocytopenic purpura with acute kidney injury.

Jyoti Bharti, Tulika Chandra, Archana Solanki, Ashutosh Singh, D Himanshu Reddy, Mallika Agarwal

Abstract readCase Reports
In one paragraph

Article in Journal of family medicine and primary care, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

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Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

1 citing paper in PubMed.

  1. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

6 authors.

Jyoti BhartiDepartment of Transfusion Medicine, King George Medical University, Lucknow, Uttar Pradesh, India.
Tulika ChandraDepartment of Transfusion Medicine, King George Medical University, Lucknow, Uttar Pradesh, India.
Archana SolankiDepartment of Transfusion Medicine, King George Medical University, Lucknow, Uttar Pradesh, India.
Ashutosh SinghDepartment of Transfusion Medicine, King George Medical University, Lucknow, Uttar Pradesh, India.
D Himanshu ReddyDepartment of Medicine, King George Medical University, Lucknow, Uttar Pradesh, India.
Mallika AgarwalDepartment of Pathology, D.Y. Patil Medical College, Pune, Maharashtra, India.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Thrombotic thrombocytopenic purpura (TTP) is a life-threatening disease present with the classic pentad of microangiopathic hemolytic anemia (MAHA), fever, neurologic changes, thrombocytopenia, and renal dysfunction. In a diagnostic dilemma, therapeutic plasma exchange (TPE) is a choice of life-saving intervention. In this, we assess the efficacy of TPE in a suspected case of post-partum TTP. A 27 years old female was admitted in an emergency on day 8 after a lower segment cesarian section (LSCS) with unresponsive behavior for 3 days and with TTP. She was normal 32 days back with her second, 7-month pregnancy. Ultrasonography (USG) showed an umbilical cord around the neck of the baby. On the fifth post-operative day, she was shifted to emergency with fever, generalized anasarca, gastrointestinal tract (GI) bleeding, low platelet count, and low Hb, with a poor Glasgow coma scale (GCS) of 6. On the bases of serum urea and serum creatinine, she presented acute kidney injury with encephalopathy. At emergency, she was unresponsive to mechanical ventilation and supportive treatment; hence, therapeutic plasma exchange was performed. After eight TPE cycles, the patient presented with an improved hematological and renal profile with good GCS. TPE is helpful and life-saving for suspected TTP patients with AKI.

Indexed as

Acute kidney injuryfresh frozen plasmapost-partum thrombotic thrombocytopenic purpuratherapeutic plasma exchangeTTP

Identifiers

PMID39027862
PMCPMC11254058

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