CASES OF THROMBOTIC EVENTS IN FIBROUS-CAVERNOUS PULMONARY TUBERCULOSIS PATIENTS
https://doi.org/10.21292/2075-1230-2017-95-8-35-40
Abstract
The article describes three cases of deep venous thrombosis in those suffering from fibrous cavernous pulmonary tuberculosis. The causes of thrombotic complications were analyzed. In all cases the patients had a central venous catheter installed. The state of thrombotic readiness associated with genetic causes as well was confirmed in two patients. Under follow-up by thrombodynamics testing, it was found out that the effective dose of low-molecular heparin was above the estimated dose prescribed according to the instructions. One case had a lethal outcome. Certain actions to be taken by anesthesiologists and emergency physicians are offered in order to minimize the risk of thrombotic complications in pulmonary tuberculosis patients in need of surgery and (or) a venous catheter.
About the Authors
A. A. Yatsenko
Novosibirsk Tuberculosis Research Institute
Russian Federation
Russian Federation
Anesthesiologist and Emergency Physician,
81a, Okhotskaya St., Novosibirsk, 630040
T. I. Petrenko
Novosibirsk Tuberculosis Research Institute
Russian Federation
Russian Federation
Doctor of Medical Sciences, Deputy Director for Research,
81a, Okhotskaya St., Novosibirsk, 630040
P. N. Filimonov
Novosibirsk Tuberculosis Research Institute
Russian Federation
Russian Federation
Doctor of Medical Sciences, Head of Laboratory Experimental Sector,
81a, Okhotskaya St., Novosibirsk, 630040
References
1. Zaynulina M.S., Kornyushina E.А., Bikmullina D.R. Thrombembolia: is it an etiologic factor or pathogenic aspect of the complicated course of pregnancy? Journal Akusherstva i Zhenskikh Bolezney, 2010, vol . LIX, no. 1. pp. 18-30. (In Russ.)
2. Ambrosetti M., Sarassi A., Viggiani P. et al. Chastota tromboembolii u bolnykh tuberkulezom legkikh. [Frequency of thrombembolia in pulmonary tuberculosis patients]. Probl. Tub., 2006, no. 4, pp. 63-64. (In Russ.)
3. Anderson F.A.Jr., H. Brownell Wheeler, Robert J. Goldberg physician practices in the prevention of venous thromboembolism. Ann. Intern. Med., 1991, vol. 115, no. 8, pp. 591-595.
4. Bozoky G., Ruby E., Goher I. et al. Hematologic abnormalities in pulmonary tuberculosiss. Orv. Hetil., 1997, vol. 138. pp. 1053-1056.
5. Catheline, Jean-Marc M.D.; Turner, Richard M.B., B.S.; Gaillard, Jean-Luc M.D.; Rizk, Nabil M.D.; Champault, Gérard M.D. Thromboembolism in Laparoscopic Surgery: Risk Factors and Preventive Measures. Surgical Laparoscopy, Endoscopy & Percutaneous Techniques, 1999, no. 9, pp. 135-139.
6. Goncalves I.M., Alves D.C., Carvalho A. et al. Tuberculosis and venous thromboembolism: a case series. Cases J., 2009, 2:9333, https://casesjournal. biomedcentral.com/articles/10.1186/1757-1626-2-9333
7. Holzheimer R.G. Laparoscopic procedures as a risk factor of deep venous thrombosis, superficial ascending thrombophlebitis and pulmonary embolism-case report and revive of the literature. Eur. J. Med. Research, 2004, no. 9, pp. 417-422.
8. Mammen E.F. Pathogenesis of venous thrombosis. Chest, 1992, vol. 102, no. 6, pp. 640-644.
9. Ortega S., Vizcairo A., Aguirre I. B. et al. Tuberculosis as risk factor for venous thrombosis. Ann. Med. Interna., 1993, vol. 10, no. 8, pp. 398-400.
10. Sarkar S., Saha K., Maikap M., Jash D. Deep vein thrombosis: A rare association with tuberculosis. J. Medicine, 2012, vol. 103, pp. 106-108.
11. Sezer M., Öztürk A., Ilvan A. et al. The hemostatic changes in active pulmonary tuberculosis. Turk. J. Haematol., 2001, 18, no. 2, pp. 95-100.
Review
For citations:
Yatsenko A.A., Petrenko T.I., Filimonov P.N. CASES OF THROMBOTIC EVENTS IN FIBROUS-CAVERNOUS PULMONARY TUBERCULOSIS PATIENTS. Tuberculosis and Lung Diseases. 2017;95(8):35-40. (In Russ.) https://doi.org/10.21292/2075-1230-2017-95-8-35-40
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