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Browsing by Author "Hadi, M. Azam"
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Item Coxsackie B2 Virus Infection Causing Multiorgan Failure and Cardiogenic Shock in a 42-Year-Old Man(Texas Heart Institute Journal, 2019-02-01) Hopkins, Kali A.; Abdou, Mahmoud H.; Hadi, M. Azam; Department of Internal Medicine, IU School of MedicineInfections from coxsackie B2 viruses often cause viral myocarditis and, only rarely, multisystem organ impairment. We present the unusual case of a 42-year-old man in whom coxsackie B2 virus infection caused multiorgan infection, necessitating distal pancreatectomy, splenectomy, renal dialysis, and venoarterial extracorporeal membrane oxygenation with mechanical ventilation. In addition, the patient had a rapid-eye-movement sleep-related conduction abnormality that caused frequent sinus pauses of longer than 10 s, presumably due to myocarditis from the coxsackievirus infection. He recovered after permanent pacemaker placement and was discharged from the hospital. We discuss our aggressive supportive care and the few other reports of multiorgan impairment from coxsackieviruses.Item Identification and management of atypical Hemolytic Uremic Syndrome immediately post heart transplantation(Wiley, 2015-04) Vardas, Panos N.; Hashmi, Zubair A.; Hadi, M. Azam; Department of Medicine, IU School of MedicineAtypical hemolytic uremic syndrome (aHUS) is a serious hematologic disorder with high mortality if left untreated. A comprehensive literature review revealed only two cases of aHUS post–heart transplantation. In both cases the disease developed after induction of calcineurin inhibitor therapy. We report a case of immediate post–heart transplantation aHUS, manifested before the induction of, and therefore not associated with, calcineurin inhibitors