PMC7608766_01
(A,B) pericardial effusion, in the cardiac ultrasound, in an adult patient with thiamine-responsive megaloblastic anaemia (TRMA) on discontinuation of oral thiamine-based treatment
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F1
To rule out the diagnosis of acute coronary syndrome in front of the chest pain presented by the patient, the ECG, repeated several times, was normal, two points of hypersensitive troponin was negative, a cardiac ultrasound had shown pericardial effusion of two millimeters circumferential (Figure 1 (A, B)), good left ventricle function with 74% of ejection fraction, without ischemic signs and without valve diseases, right cavities were normal.
evolution of thrombocyte and haemoglobin counts over time. Thiamine supplementation was stopped from 30th March to 3rd July included. Hemoglobin (Hb) level is expressed in gram per litre (g/L). Thrombocyte (ths) counts are expressed in giga per litre (cells x109/L)
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F2
Three weeks after initiation of treatment, the blood cell counts returned to normal values (Figure 2).