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Year : 2017  |  Volume : 4  |  Issue : 2  |  Page : 52-55

Transfusion-dependent anemia in a patient with sickle cell disease as well as HIV-associated tuberculosis

1 Department of Haematology, Ahmadu Bello University Teaching Hospital, Zaria, Nigeria
2 Department of Medicine, Ahmadu Bello University Teaching Hospital, Zaria, Nigeria

Correspondence Address:
Awwalu Sani
Department of Haematology, Ahmadu Bello University Teaching Hospital, Zaria
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Source of Support: None, Conflict of Interest: None

DOI: 10.4103/ssajm.ssajm_8_17

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Patients with hemoglobin SC (HbSC) often have unique presentations. Challenges in managing them are further compounded by the presence of other co-morbidities. Transfusion dependence is not a common feature in the course of HbSC. Therefore, when a patient with HbSC becomes transfusion-dependent, then there is a need to evaluate for possible co-morbid conditions. The coexistence of human immunodeficiency virus (HIV) infection and tuberculosis in patients with HbSC is not a common finding, and this poses unique challenges to the managing teams. We present the case of a patient with HbSC with transfusion-dependent anemia, HIV, and disseminated tuberculosis. The challenges faced in the management of this case highlight the importance of a multidisciplinary approach as well as the impact of financial constraints in our setting.

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