Figure 1

laurenhouser

49 year old female PMH of liver transplant just short of 2 years ago presented to the clinic with general fatigue and diarrhea. I recently referred to hematology because my hands are tied and liver transplant team are of zero assistance. Prior to her getting to the hematology appointment I’ve attempted to do a workup of the patient, including HIV workup which was negative, colonoscopy, and stool culture which were all negative. Iron and serum folate normal. Labs are as above and just recently tested positive for Acinetobacter radioresistens through blood culture.

Anyone have any experience with this organism? Forgive me if this is something I should be familiar with. Sent to hospital for admit today for isolation and IV antibiotics. Would appreciate any info you have. Not even sure of symptoms that I should’ve been looking for and the Internet is like reading a foreign language for me. Just FYI: CMP normal, CRP normal, SED rate normal. Had recently started on Amoxicillin d/t urine culture coming back positive for ECOLI and sensitive to Amox. Just wanting to broaden my understanding here. Thanks in advance! Will keep posted after hospital departure.

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A 65 years old female with a past history of Hepatitis C virus which was treated and PCR now is negative. Her liver functions are fine. However, her platelets count is 49000 and her monocytes count is above normal. US showed average size spleen and liver. Portal vein not dilated and just a mild cirrhosis which is typical for that age. What could be the possible cause for decreased platelets count? Any suggested investigations?

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