TREATMENT AND FOLLOW-UP:
With regard to the treatment this patient received, it was mainly supportive in nature since we did not confirm the diagnosis this patient may have. The patient was hypotensive and immediately received two Normal saline units of 0.9 % 500 ml infusion in the emergency room and was requested to do the route investigations.
On-ward patient immediately received Ceftriaxone 1gm IV and was requested to do peripheral blood picture which revealed anisopoikilocytosis and severe microcytic hypochromic cells.
For the second, third and fourth day the patient received 3 units of blood. She continued to have Ceftriaxone 1gm IV injections and potassium citrate powder. The patient remarkably improved. Her platelet count was followed on the 4th day which showed improvement to (720 ×10^3 /µl).
The patient was followed up in the referred clinic for a period of 12 days with no significant complications and another platelet count followed 8 days after discharge which was normal (260 × 10^3 /µl).
Finally, the patient was requested to do iron studies and a bone marrow biopsy but she neglected to continue the investigation. No further workup was done as the patient’s symptoms and conditions improved rapidly and the patient refused to come to the follow-up.