Acceso usuarios
Marina Martín Pérez, Blanca Hernández Labrot, Inmaculada Callejas Gil, Cristina Marco López, Yasmina Sánchez Prieto, Irene Uldemolins Gómez
Presentamos el caso clínico de una paciente de 63 años, con antecedentes familiares de favismo, que acude a urgencias por cuadro de malestar general, dolor abdominal, ictericia con coluria y acolia tras ingesta de habas frescas. Se realiza analítica de sangre evidenciando cifras de hemoglobina 10,8, bilirrubina total elevada a expensas de bilirrubina indirecta y test de Coombs directo negativo. Ante la orientación diagnóstica de anemia hemolítica en el contexto de crisis de favismo se decide ingreso en digestivo, confirmándose el diagnóstico mediante determinación de Glucosa-6-fosfato Deshidrogenasa disminuida. Durante el ingreso evolución favorablemente tras fluidoterapia intravenosa siendo dada de alta tras 72 horas.
We present the clinical case of a 63-year-old patient, with a family history of favism, who came to the emergency due to general malaise, abdominal pain, jaundice with choluria and acholia after eating fresh beans. A blood test was performed showing hemoglobin levels of 10.8, elevated total bilirubin at the expense of indirect bilirubin, and a negative direct Coombs test. Given the diagnostic orientation of hemolytic anemia in the context of a favism crisis, it was decided to admit her to the digestive service, confirming the diagnosis by determining Glucose-6-phosphate Dehydrogenase. During admission, she progressed favorably after intravenous fluid therapy, being discharged after 72 hours.
