PMC5496165_01
Trend of patient's platelet count (blue line) and hemoglobin (red line) over the hospital stay with respect to timing of splenectomy. Follow-up platelet count and hemoglobin on May 1 (not depicted on the graph) was 1,204,000/mm3 and 10.6 g/dl, respectively
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PMC5496165_01_12959_2017_141_Fig1_HTML.jpg
Fig1
After nearly 3 weeks in the hospital, the hemoglobin had not risen above 6.9 g/dl (Fig. 1) prompting a discussion for splenectomy. Following splenectomy, the patient had a rise in his platelet count (Fig. 1) above 100,000/ mm3 and at that time was started on subcutaneous enoxaparin 40 mg/day for deep venous thrombosis (DVT) prophylaxis.
Timeline of treatment
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PMC5496165_01_12959_2017_141_Fig2_HTML.jpg
Fig2
The anterior, lateral, and posterior aspects of the left ventricle and the interventricular septum of the heart showed healing areas of myocardial infarction attributed to the severe anemia during the previous hospitalization (Fig. 2).