| Autor: |
Kumar Dubey Alok, Ashvini Krishna Ashnita |
| Rok vydání: |
2019 |
| Předmět: |
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| Zdroj: |
International Journal of Case Reports and Images. 10:1 |
| ISSN: |
0976-3198 |
| DOI: |
10.5348/101054z01ak2019cr |
| Popis: |
Introduction: Venous thromboembolism (VTE) is an uncommon presentation in the pediatric population. Although its incidence is 60 times less in children compared to adults, VTE is gaining increased importance due to the difficulty in investigating its cause, lack of evidence-based established treatment guidelines, and increased morbidity and mortality. Case Report: This is a case report of a 3-year-old child who was being treated for pneumonia and was noticed to have diffuse edema on right chest wall and right upper extremity. Doppler ultrasound confirmed thrombosis of right subclavian and internal jugular veins. The patient was treated with anticoagulants but succumbed before the actual cause of VTE could be found. Bone marrow biopsy results obtained five days later showed findings suggestive of myelodysplastic syndrome (MDS) versus reactive causes such as systemic lupus erythematosus (SLE) and human immunodeficiency virus (HIV). Conclusion: This case has been reported for the rarity of the condition, the many difficulties faced in working up to reach a diagnosis and the absence of standardized guidelines for treatment in children compared to adults. |
| Databáze: |
OpenAIRE |
| Externí odkaz: |
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