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Fatal 1918 Pneumonia Case Complicated by Erythrocyte Sickling

机译:致命的1918年肺炎病例并发红细胞病

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To the Editor: The year 2010 marks the 100th anniversary of Her-rick's original case description of what is now known as sickle cell anemia (1). Additional case reports followed in 1911 and 1915; in 1922, Mason de-scribed a fourth case and coined the term sickle cell anemia (2). In 1949, Pauling et al. published an important study that identifi ed differences in the electrophoretic mobilities of normal and sickled erythrocytes (3). The in-heritance pattern of sickle cell anemia was determined in 1949; in 1957, In-gram identifi ed the single amino acid change in hemoglobin S (4).Patients with sickle cell anemia are at markedly increased risk for infections with several bacteria, in-cluding Streptococcus pneumoniae, and emerging viral infections such as pandemic in. uenza. We report a ret-rospectively identifi ed case of fatal bacterial pneumonia complicated by abundant erythrocyte sickling in a pa-tient bearing the sickle cell trait. The patient's illness occurred in July 1918, representing one of the fi rst identifi ed symptomatic cases of sickle cell trait
机译:致编辑:2010年是Her-rick最初描述镰状细胞性贫血的案例描述100周年(1)。随后在1911年和1915年又有其他病例报告; 1922年,梅森(Mason)描述了第四例,并创造了镰状细胞贫血一词(2)。 1949年,Pauling等人。发表了一项重要研究,确定了正常和镰状红细胞在电泳迁移率方面的差异(3)。镰状细胞性贫血的遗传模式是在1949年确定的; 1957年,In-gram鉴定了血红蛋白S中的单个氨基酸变化(4)。镰状细胞性贫血的患者感染多种细菌的风险明显增加,包括肺炎链球菌和新兴的病毒感染,例如恩扎我们报道了在具有镰状细胞特征的患者中,由致命的细菌性肺炎并发大量红细胞镰状镰刀病的一项回顾性病例。患者的病情发生于1918年7月,是镰状细胞性状的首例确诊症状病例

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