Mohan Bishav, Kashyap Anil, Whig Jagdeep, Mahajan Vineet
Hero DMC Heart Institute, Dayanand Medical College & Hospital, Ludhiana - 141001, Punjab.
Indian J Tuberc. 2011 Apr;58(2):84-7.
Pulmonary tuberculosis is very prevalent in developing countries but its thrombogenic potential is a new entity. There are reports stating the relation of Deep Vein Thrombosis (DVT) with severe forms of tuberculosis but no literature is available for correlation of pulmonary tuberculosis and pulmonary embolism. We are presenting series of five patients with different forms of tuberculosis presenting with pulmonary embolism having no risk factor for hypercoagulability. Also, serum protein C, protein S, antithrombin and factor V levels were normal in all. We are highlighting an unreported phenomenon so that high suspicion, adequate prophylaxis and prompt management of pulmonary embolism can play a vital role in the survival of this subset of patients.
肺结核在发展中国家非常普遍，但其血栓形成潜能却是一个新问题。有报告指出深静脉血栓形成（DVT）与严重形式的结核病有关，但尚无关于肺结核与肺栓塞相关性的文献。我们报告了5例不同形式结核病并发肺栓塞且无高凝风险因素的患者系列。此外，所有患者的血清蛋白C、蛋白S、抗凝血酶和因子V水平均正常。我们强调这一未被报道的现象，以便对肺栓塞保持高度怀疑、进行充分预防和及时处理，这对这类患者的生存至关重要。
