A very potent factor V inhibitor interferes with the levels of all coagulation factors and causes a fatal hemorrhagic syndrome

Eur J Haematol. 2019 Aug;103(2):137-139. doi: 10.1111/ejh.13249. Epub 2019 May 28.

Abstract

We report a very high factor V inhibitor affecting the measurement of all coagulation factors besides fibrinogen, all these factors being dramatically decreased. This inhibitor could be linked to antibiotic use. The patient died of massive hemorrhage before a plasma exchange could be initiated.

Keywords: coagulation factors; factor V inhibitor; factor inhibitor.

Publication types

  • Case Reports

MeSH terms

  • Aged, 80 and over
  • Biomarkers
  • Blood Coagulation Factor Inhibitors / blood*
  • Blood Coagulation Tests
  • Blood Coagulation*
  • Disease Susceptibility
  • Factor V / antagonists & inhibitors*
  • Fatal Outcome
  • Female
  • Hemorrhage / blood*
  • Hemorrhage / diagnosis
  • Hemorrhage / etiology*
  • Humans

Substances

  • Biomarkers
  • Blood Coagulation Factor Inhibitors
  • Factor V