A Case Report: Pancytopenia Secondary to Urosepsis and Acute Kidney Injury in a 23-Year-Old Female with Intellectual Disability

Authors

  • Karthikeya T M
  • Pranav Theja
  • N N Anand
  • Balaji N
  • Gopalagari VinodKrishna

Keywords:

Intellectual disability, pancytopenia, urosepsis, acute kidney injury, sepsis-induced bone marrow suppression

Abstract

A 23-year-old female with a history of intellectual disability presented with fever, altered mental status, and reduced urine output. Laboratory investigations revealed pancytopenia and acute kidney injury (AKI). Urine culture was positive for Escherichia coli, confirming urosepsis as the underlying etiology. The patient was managed with broad-spectrum antibiotics, intravenous fluids, and supportive care, leading to resolution of AKI and pancytopenia. This case highlights the importance of early recognition and management of urosepsis in patients with neurodevelopmental disorders, who may have atypical presentations.

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Published

2025-05-16

How to Cite

1.
T M K, Theja P, Anand NN, Balaji N BN, VinodKrishna G. A Case Report: Pancytopenia Secondary to Urosepsis and Acute Kidney Injury in a 23-Year-Old Female with Intellectual Disability. J Neonatal Surg [Internet]. 2025May16 [cited 2025Sep.18];14(25S):38-43. Available from: https://www.jneonatalsurg.com/index.php/jns/article/view/5975