Dos Santos Vitorino Modesto, Teles Ludmila Thommen, Leão Carlos Eduardo Silva, Lopes Jânio Wagner Pinheiro, Fastudo Custodio Abel, Lima Regina Lucas Machada
Department of Internal Medicine, Catholic University (UCB), Brasília-DF, Brazil.
Indian J Sex Transm Dis AIDS. 2012 Jan;33(1):41-3. doi: 10.4103/0253-7184.93822.
We report a case of recurrent deep venous thrombosis in a 44-year-old woman, intravenous drug user and HIV-infected, who injected cocaine in the groins and veins of the dorsum of the feet. She suffered several episodes of deep venous thrombosis and soft-tissue infections in the lower limbs. Images of Doppler ultrasound scan revealed thrombosis in the right popliteal vein with partial recanalization and calcified thrombi in the territory of the right femoral vein. After use of heparin and oral anticoagulation, her clinical evolution was uneventful, and she was asymptomatic at the occasion of the hospital discharge. This report calls for better awareness about injections in the groins and superficial femoral veins, which are part of the deep venous system. Thrombosis related to HIV infection is highlighted.
我们报告一例44岁女性复发性深静脉血栓形成病例，该女性为静脉吸毒者且感染了HIV，她在腹股沟和足背静脉注射可卡因。她下肢出现了几次深静脉血栓形成和软组织感染。多普勒超声扫描图像显示右腘静脉血栓形成伴部分再通，右股静脉区域有钙化血栓。使用肝素和口服抗凝药后，她的临床病情平稳，出院时无症状。本报告呼吁提高对腹股沟和股浅静脉注射的认识，这些部位属于深静脉系统。强调了与HIV感染相关的血栓形成。
