Severe Haemolytic Anaemia Resulting from a Malpositioned Haemodialysis Catheter

  • Mohammad Ammad Ud Din Internal Medicine, Rochester General Hospital, Rochester, New York, USA
  • Hania Liaqat Internal Medicine, Rochester General Hospital, Rochester, New York, USA
  • Prabhsimrat Gill Internal Medicine, Rochester General Hospital, Rochester, New York, USA
  • Soon Khai Low Internal Medicine, Rochester General Hospital, Rochester, New York, USA

Keywords

Haemolysis, haemodialysis, catheter-associated haemolysis, haemolytic anaemia

Abstract

Severe haemolytic anaemia is a rare complication of haemodialysis that is often difficult to recognize, especially when there are other potential differential diagnoses. Here, we present the case of 19-year-old man on haemodialysis who developed severe haemolytic anaemia while recovering from acute renal failure secondary to rhabdomyolysis. Other causes of haemolytic anaemia such as thrombotic thrombocytopenic purpura and haemolytic uraemic syndrome were ruled out. As his blood counts were dropping on days following haemodialysis, haemolysis secondary to the mechanical sheering effect of the catheter was considered and his haemodialysis catheter was exchanged, which led to the resolution of anaemia.

VIEW THE ENTIRE ARTICLE

References

  • Yoon J, Thapa S, Chow RD, Jaar BG. Hemolysis as a rare but potentially life-threatening complication of hemodialysis: a case report. BMC Res Notes 2014;7:475.
  • Orringer EP, Mattern WD. Formaldehyde-induced hemolysis during chronic hemodialysis. N Engl J Med 1976;294:1416–1420.
  • Berkes SL, Kahn SI, Chazan JA, Garella S. Prolonged hemolysis from overheated dialysate. Ann Intern Med 1975;83:363–364.
  • Gault MH, Duffett S, Purchase L, Murphy J. Hemodialysis intravascular hemolysis and kinked blood lines. Nephron 1992;62:267–271.
  • Sam R, Haghighat L, Kjellstrand CM, Ing TS. Hemolysis during hemodialysis. In: Nissenson AR, Fine RN, editors. Handbook of dialysis therapy. Amsterdam: Elsevier; 2008: pp. 457–466.
  • Published: 2021-08-26

    Issue: 2021: Vol 8 No 8 (view)

    Section: Articles

    How to cite:
    1.
    Ammad Ud Din M, Liaqat H, Gill P, Low SK. Severe Haemolytic Anaemia Resulting from a Malpositioned Haemodialysis Catheter. EJCRIM 2021;8 doi:10.12890/2021_002789.