Allen J. Orehek, MD; Chad D. Kollas, MD
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Orehek AJ, Kollas CD. Refractory Postpartum Anemia Due to Vitamin B6 Deficiency. Ann Intern Med. 1997;126:834-835. doi: 10.7326/0003-4819-126-10-199705150-00038
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Published: Ann Intern Med. 1997;126(10):834-835.
TO THE EDITOR:
An 18-year-old woman presented with fever, chills, back pain, lightheadedness on standing, and weakness. Six weeks earlier, she had given birth to a full-term infant by spontaneous vaginal delivery complicated by uterine atony and anemia, presumed to have been caused by blood loss. She began receiving iron supplementation. Her medical history included only a spinal fusion for scoliosis. On presentation, the blood pressure was 133/66 mm Hg, body temperature was 39 °C, pulse was 140 beats/min, and respiratory rate was 32 breaths/min. The patient appeared weak and pale. Cardiac examination revealed tachycardia with a II/VI systolic murmur. Results of lung and abdominal examination were normal, but mild costovertebral tenderness was noted on examination of the back. Microscopic urinalysis showed many leukocytes and bacteria. The initial hemoglobin concentration was 7.4 mg/dL.
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Print ISSN: 0003-4819 | Online ISSN: 1539-3704
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