Hypotension Unresponsive to Fluid Resuscitation: A Case Report.

Abstract

IntroductionIron deficiency anemia is commonly seen in the emergency department (ED), and the cause can be complex and variable.Case ReportWe present a case of a female without known medical history who presented to the ED for generalized weakness and was found to have severe anemia in the setting of chronic lice infestation.ConclusionSevere and chronic pediculosis can cause chronic blood loss and be an unusual and rare cause of iron deficiency anemia. In the setting of anemia and hypotension unresponsive to fluid resuscitation, consideration should be given to early packed red blood cell transfusion and subsequent investigation of causes of severe anemia.