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Tuyển tập báo cáo các nghiên cứu khoa học quốc tế ngành y học dành cho các bạn tham khảo đề tài: Pancytopenia and atrial fibrillation associated with chronic hepatitis C infection and presumed hepatocellular carcinoma: a case report | Journal of Medical Case Reports BioMed Central Open Access Case report Pancytopenia and atrial fibrillation associated with chronic hepatitis C infection and presumed hepatocellular carcinoma a case report Christopher Labos 1 2 and Kaberi Dasgupta2 Address Department of Internal Medicine Montreal General Hospital Cedar Avenue Montreal Quebec H3G 1A4 Canada and 2McGill University Health Centre Pine Avenue West Montreal Quebec H3A 1A1 Canada Email Christopher Labos - christopher.labos@mail.mcgill.ca Kaberi Dasgupta - kaberi.dasgupta@mcgill.ca Corresponding author Published II August 2008 Received 12 February 2007 Journal of Medical Case Reports 2008 2 264 doi 10.1186 1752-1947-2-264 Accepted 11 August 2008 This article is available from http www.jmedicalcasereports.cOm content 2 1 264 2008 Labos and Dasgupta licensee BioMed Central Ltd. This is an Open Access article distributed under the terms of the Creative Commons Attribution License http creativecommons.org licenses by 2.0 which permits unrestricted use distribution and reproduction in any medium provided the original work is properly cited. Abstract Introduction Pancytopenia secondary to hepatitis viral infection is a rare but noted clinical entity. An acute aplastic crisis usually occurs shortly after viral infection however viral serologies are usually negative and the pancytopenia is often fatal if left untreated. Case presentation A 66-year-old woman presented to the emergency department with shortness of breath and palpitations. She was found to have pulmonary edema secondary to a newly diagnosed atrial fibrillation and was treated with rate control and anticoagulation. She was found to have an anemia that was reported to be longstanding and that was apparently being investigated by a hematologist although no diagnosis had yet been achieved. Her blood work also revealed a mild leucopenia and pronounced thrombocytopenia. The .