Diagnosis with Hemoglobin SC Disease at Age 52 After Acute Stroke and Cardiac Arrest
نویسندگان
چکیده
A 52-year-old male, with no prior medical history developed status epilepticus followed by cardiac arrest with pulseless electrical activity (PEA) while at the airport returning to his home country in West Africa. He received cardiopulmonary resuscitation (CPR) and was intubated at the airport. He was found to have had a stroke and pneumonia. The peripheral blood smear demonstrated no schistocytes, but rather a few sickle cells, hemoglobin C crystals, and abundant target cells consistent with hemoglobin SC (HbSC) disease. Hemoglobin electrophoresis (HbEP) confirmed HbSC disease. Urgent red blood cell (RBC) exchange was initiated for a goal Hb S+C of <30 %. With complete neurologic recovery, he was extubated two days after the exchange transfusion and was discharged from the hospital five days after extubation. Our case is among the few reported cases of HbSC disease diagnosed as late in life as 52-years.
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