A case of anorexia nervosa with disseminated intravascular coagulation syndrome

作者：Haruta Izumi; Asakawa Akihiro^*; Ogiso Kazuma; Amitani Haruka; Amitani Marie; Tsai Minglun; Hamada Satoshi; Inui Akio

来源：International Journal of Eating Disorders, 2012, 45(3): 453-455.

DOI：10.1002/eat.20954

• anorexia nervosa
• disseminated intravascular coagulation
• DIC
• refeeding syndorome
• sinbiotics therapy

A 36-year-old Japanese woman with anorexia nervosa (AN) was admitted to our department because of severe emaciation. Although we were thorough in her clinical management and were careful to avoid precipitating refeeding syndrome, disseminated intravascular coagulation (DIC) developed 3 weeks after hospitalization. We treated her for DIC with sepsis using anticoagulants, protease inhibitors, antithrombin, and platelet concentrate transfusion. To treat her bacterial infection, we administered antimicrobial drugs and immunoglobulin. We began probiotic and prebiotic (synbiotics) treatment for bacterial translocation. We think that the prevention of sepsis via bacterial translocation is an important aspect of care for patients with severe AN in addition to the prevention of refeeding syndrome.

• 出版日期2012-4