Gastrointestinal Bleeding and Survival after a Nadir Hemoglobin <3.0 g/dL in 2 Jehovah's Witness Patients: A Case Report

Matthew B. Sklar; Tymoteusz J. Kajstura; Samantha L. Vogt; Christy Gray; John A. Ulatowski; Linda M.S. Resar; Steven M. Frank

doi:10.1213/XAA.0000000000001837

Gastrointestinal Bleeding and Survival after a Nadir Hemoglobin <3.0 g/dL in 2 Jehovah's Witness Patients: A Case Report

Matthew B. Sklar, Tymoteusz J. Kajstura, Samantha L. Vogt, Christy Gray, John A. Ulatowski, Linda M.S. Resar, Steven M. Frank

School of Medicine

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Abstract

We report 2 cases of gastrointestinal bleeding and profound anemia in Jehovah's Witness patients (with nadir hemoglobin of 2.1 and 2.8 g/dL), both of whom survived until discharge to home. Management included supportive care, antifibrinolytics, and an aggressive erythropoietic regimen. Despite previous reports of high mortality with hemoglobin concentrations less than 5 to 6 g/dL, these patients illustrate that meticulous care in selected patients with severe anemia can lead to successful outcomes, without transfusion.

Original language	English (US)
Pages (from-to)	e01837
Journal	A & A case reports
Volume	18
Issue number	8
DOIs	https://doi.org/10.1213/XAA.0000000000001837
State	Published - Aug 13 2024

ASJC Scopus subject areas

General Medicine

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title = "Gastrointestinal Bleeding and Survival after a Nadir Hemoglobin <3.0 g/dL in 2 Jehovah's Witness Patients: A Case Report",

abstract = "We report 2 cases of gastrointestinal bleeding and profound anemia in Jehovah's Witness patients (with nadir hemoglobin of 2.1 and 2.8 g/dL), both of whom survived until discharge to home. Management included supportive care, antifibrinolytics, and an aggressive erythropoietic regimen. Despite previous reports of high mortality with hemoglobin concentrations less than 5 to 6 g/dL, these patients illustrate that meticulous care in selected patients with severe anemia can lead to successful outcomes, without transfusion.",

author = "Sklar, {Matthew B.} and Kajstura, {Tymoteusz J.} and Vogt, {Samantha L.} and Christy Gray and Ulatowski, {John A.} and Resar, {Linda M.S.} and Frank, {Steven M.}",

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AU - Sklar, Matthew B.

AU - Kajstura, Tymoteusz J.

AU - Vogt, Samantha L.

AU - Gray, Christy

AU - Ulatowski, John A.

AU - Resar, Linda M.S.

AU - Frank, Steven M.

PY - 2024/8/13

Y1 - 2024/8/13

N2 - We report 2 cases of gastrointestinal bleeding and profound anemia in Jehovah's Witness patients (with nadir hemoglobin of 2.1 and 2.8 g/dL), both of whom survived until discharge to home. Management included supportive care, antifibrinolytics, and an aggressive erythropoietic regimen. Despite previous reports of high mortality with hemoglobin concentrations less than 5 to 6 g/dL, these patients illustrate that meticulous care in selected patients with severe anemia can lead to successful outcomes, without transfusion.

AB - We report 2 cases of gastrointestinal bleeding and profound anemia in Jehovah's Witness patients (with nadir hemoglobin of 2.1 and 2.8 g/dL), both of whom survived until discharge to home. Management included supportive care, antifibrinolytics, and an aggressive erythropoietic regimen. Despite previous reports of high mortality with hemoglobin concentrations less than 5 to 6 g/dL, these patients illustrate that meticulous care in selected patients with severe anemia can lead to successful outcomes, without transfusion.

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Gastrointestinal Bleeding and Survival after a Nadir Hemoglobin <3.0 g/dL in 2 Jehovah's Witness Patients: A Case Report

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