Arteriovenous thrombosis in a patient with miliary tuberculosis complicated by a left ventricular mass and its treatment
Introduction: Tuberculosis (TB) is considered one of the two greater long-term global public health threats than the coronavirus disease 2019 (COVID-19) pandemic. Although venous thromboembolism has a low prevalence of 3.5% among patients with active TB, miliary TB complicated by arteriovenous thro...
Saved in:
| Main Authors: | , , , |
|---|---|
| Format: | Article |
| Language: | English |
| Published: |
The Journal of Infection in Developing Countries
2023-09-01
|
| Series: | Journal of Infection in Developing Countries |
| Subjects: | |
| Online Access: | https://jidc.org/index.php/journal/article/view/17744 |
| Tags: |
Add Tag
No Tags, Be the first to tag this record!
|
| _version_ | 1850148561848631296 |
|---|---|
| author | Ling Chen Quanxian Liu Yuanbo Lan Hong Zhang |
| author_facet | Ling Chen Quanxian Liu Yuanbo Lan Hong Zhang |
| author_sort | Ling Chen |
| collection | DOAJ |
| description |
Introduction: Tuberculosis (TB) is considered one of the two greater long-term global public health threats than the coronavirus disease 2019 (COVID-19) pandemic. Although venous thromboembolism has a low prevalence of 3.5% among patients with active TB, miliary TB complicated by arteriovenous thrombosis is a rare and potentially life-threatening condition.
Case study: We present here an unusual case of a 32-year-old man with a two-month history of shortness of breath and painful swelling in the right lower extremity. In addition, elevated plasma levels of platelets, white blood cells, neutrophils, and D-dimer were observed upon his admission to the hospital. The patient was diagnosed with miliary TB complicated by arteriovenous thrombosis in the right lower extremity and a left ventricular mass measuring 3.5 × 1.7 cm. He was successfully treated with anti-TB drugs and low molecular weight heparin followed by warfarin, aspirin and clopidogrel.
Conclusions: This case study demonstrates that a patient with miliary TB complicated by arteriovenous thrombosis and a left ventricular mass can be cured with timely diagnosis and appropriate treatment. The implications of this report are to raise awareness about miliary TB and arteriovenous thrombosis, to improve diagnosis and treatment, and to reduce patient mortality through sharing our successful experience with clinicians and healthcare providers in the developing countries of the world.
|
| format | Article |
| id | doaj-art-2e79f230692f4533804a69b42de9d8eb |
| institution | OA Journals |
| issn | 1972-2680 |
| language | English |
| publishDate | 2023-09-01 |
| publisher | The Journal of Infection in Developing Countries |
| record_format | Article |
| series | Journal of Infection in Developing Countries |
| spelling | doaj-art-2e79f230692f4533804a69b42de9d8eb2025-08-20T02:27:14ZengThe Journal of Infection in Developing CountriesJournal of Infection in Developing Countries1972-26802023-09-01170910.3855/jidc.17744Arteriovenous thrombosis in a patient with miliary tuberculosis complicated by a left ventricular mass and its treatmentLing Chen0Quanxian Liu1Yuanbo Lan2Hong Zhang3Department of Tuberculosis, Affiliated Hospital of Zunyi Medical University, Zunyi, ChinaDepartment of Tuberculosis, Affiliated Hospital of Zunyi Medical University, Zunyi, ChinaDepartment of Tuberculosis, Affiliated Hospital of Zunyi Medical University, Zunyi, ChinaZ-BioMed, Inc., Rockville, Maryland, United States Introduction: Tuberculosis (TB) is considered one of the two greater long-term global public health threats than the coronavirus disease 2019 (COVID-19) pandemic. Although venous thromboembolism has a low prevalence of 3.5% among patients with active TB, miliary TB complicated by arteriovenous thrombosis is a rare and potentially life-threatening condition. Case study: We present here an unusual case of a 32-year-old man with a two-month history of shortness of breath and painful swelling in the right lower extremity. In addition, elevated plasma levels of platelets, white blood cells, neutrophils, and D-dimer were observed upon his admission to the hospital. The patient was diagnosed with miliary TB complicated by arteriovenous thrombosis in the right lower extremity and a left ventricular mass measuring 3.5 × 1.7 cm. He was successfully treated with anti-TB drugs and low molecular weight heparin followed by warfarin, aspirin and clopidogrel. Conclusions: This case study demonstrates that a patient with miliary TB complicated by arteriovenous thrombosis and a left ventricular mass can be cured with timely diagnosis and appropriate treatment. The implications of this report are to raise awareness about miliary TB and arteriovenous thrombosis, to improve diagnosis and treatment, and to reduce patient mortality through sharing our successful experience with clinicians and healthcare providers in the developing countries of the world. https://jidc.org/index.php/journal/article/view/17744Miliary tuberculosisarteriovenous thrombosisbiomarkertreatment |
| spellingShingle | Ling Chen Quanxian Liu Yuanbo Lan Hong Zhang Arteriovenous thrombosis in a patient with miliary tuberculosis complicated by a left ventricular mass and its treatment Journal of Infection in Developing Countries Miliary tuberculosis arteriovenous thrombosis biomarker treatment |
| title | Arteriovenous thrombosis in a patient with miliary tuberculosis complicated by a left ventricular mass and its treatment |
| title_full | Arteriovenous thrombosis in a patient with miliary tuberculosis complicated by a left ventricular mass and its treatment |
| title_fullStr | Arteriovenous thrombosis in a patient with miliary tuberculosis complicated by a left ventricular mass and its treatment |
| title_full_unstemmed | Arteriovenous thrombosis in a patient with miliary tuberculosis complicated by a left ventricular mass and its treatment |
| title_short | Arteriovenous thrombosis in a patient with miliary tuberculosis complicated by a left ventricular mass and its treatment |
| title_sort | arteriovenous thrombosis in a patient with miliary tuberculosis complicated by a left ventricular mass and its treatment |
| topic | Miliary tuberculosis arteriovenous thrombosis biomarker treatment |
| url | https://jidc.org/index.php/journal/article/view/17744 |
| work_keys_str_mv | AT lingchen arteriovenousthrombosisinapatientwithmiliarytuberculosiscomplicatedbyaleftventricularmassanditstreatment AT quanxianliu arteriovenousthrombosisinapatientwithmiliarytuberculosiscomplicatedbyaleftventricularmassanditstreatment AT yuanbolan arteriovenousthrombosisinapatientwithmiliarytuberculosiscomplicatedbyaleftventricularmassanditstreatment AT hongzhang arteriovenousthrombosisinapatientwithmiliarytuberculosiscomplicatedbyaleftventricularmassanditstreatment |