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A patient with erysipelas – Delta-He reflecting changes in iron availability due to an infection

This case study has been kindly provided and compiled by Priv.-Doz. Dr Mathias Zimmermann and describes results of a patient with a suspected diagnosis of a systemic bacterial infection with clear signs of infection over a course of time. Delta-He, the difference between the haemoglobin content of the newly-formed reticulocytes (RET-He) and the haemoglobin content of the mature red blood cells (RBC-He) is usually positive in healthy people but turns negative within a few hours due to inflammation as there is an iron deficiency. Also, the ICIS (Intensive Care Infection Score), an RUO application on Extended IPU, gives some interesting insights in this example case.
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