Heparin-Induced Thrombocytopenia Associated with Massive Intracardiac Thrombosis : A Case Report

المؤلفون المشاركون

Campbell, David
al-Mondhiry, Hamid A. B.
Milling, Truman J.
Ahmad, Athir Majid

المصدر

Case Reports in Hematology

العدد

المجلد 2012، العدد 2012 (31 ديسمبر/كانون الأول 2012)، ص ص. 1-4، 4ص.

الناشر

Hindawi Publishing Corporation

تاريخ النشر

2012-03-29

دولة النشر

مصر

عدد الصفحات

4

التخصصات الرئيسية

الأمراض

الملخص EN

A 60-years old patient was admitted to a community hospital with septic arthritis.

He was treated with antibiotics and subcutaneous unfractionated heparin (UH) was used for venous thromboprophylaxis.

After three days, he developed leg deep venous thrombosis and was treated with IV heparin.

One day later, the patient developed pulmonary emboli, which was found using ventilation/perfusion scan.

He was transferred to the University Hospital for further management.

Upon arrival, antibiotic and intravenous UH were continued.

Trans-Esophageal Echocardiogram showed a thrombus in the right atrium, a small portion of which extended to the left atrium through a patent foramen ovale.

Another large thrombus was noted in the right ventricle, which extended to the pulmonary artery.

Review of the patient’s medical records revealed a halving of his platelet count three days following the heparin administration.

Therefore, HIT seemed very likely.

Intravenous UH was stopped and an emergency thrombectomy was performed.

ELISA testing of HIT antibodies came negative.

This made HIT diagnosis unlikely and the patient received dalteparin.

A week later, as the platelet count declined again, HIT antibodies’ testing using ELISA and C-14 serotonin release was repeated, and both assays were positive.

Argatroban was restarted and the platelet count normalized.

نمط استشهاد جمعية علماء النفس الأمريكية (APA)

Ahmad, Athir Majid& al-Mondhiry, Hamid A. B.& Milling, Truman J.& Campbell, David. 2012. Heparin-Induced Thrombocytopenia Associated with Massive Intracardiac Thrombosis : A Case Report. Case Reports in Hematology،Vol. 2012, no. 2012, pp.1-4.
https://search.emarefa.net/detail/BIM-457923

نمط استشهاد الجمعية الأمريكية للغات الحديثة (MLA)

Ahmad, Athir Majid…[et al.]. Heparin-Induced Thrombocytopenia Associated with Massive Intracardiac Thrombosis : A Case Report. Case Reports in Hematology No. 2012 (2012), pp.1-4.
https://search.emarefa.net/detail/BIM-457923

نمط استشهاد الجمعية الطبية الأمريكية (AMA)

Ahmad, Athir Majid& al-Mondhiry, Hamid A. B.& Milling, Truman J.& Campbell, David. Heparin-Induced Thrombocytopenia Associated with Massive Intracardiac Thrombosis : A Case Report. Case Reports in Hematology. 2012. Vol. 2012, no. 2012, pp.1-4.
https://search.emarefa.net/detail/BIM-457923

نوع البيانات

مقالات

لغة النص

الإنجليزية

الملاحظات

Includes bibliographical references

رقم السجل

BIM-457923