Das Sarthak, Srinivasaraghavan Rangan, Krishnamurthy Sriram, Mahadevan Subramanian
Department of Paediatrics, Jawaharlal Institute of Postgraduate Medical Education and Research (JIPMER), Pondicherry, India.
BMJ Case Rep. 2014 Sep 18;2014:bcr2014206861. doi: 10.1136/bcr-2014-206861.
Internal jugular vein (IJV) thrombosis is a serious and potentially life-threatening occurrence in children, and is usually associated with malignancies, prolonged central venous catheterisation or deep seated head and neck infections or trauma. It has not been described in association with tuberculosis in children. The authors describe a 2-year-old child who presented with IJV thrombosis in association with clinical signs and symptoms of disseminated tuberculosis. There was complete resolution of symptoms after starting antitubercular drugs and warfarin. The authors emphasise that an active search for tuberculosis should be made routinely in patients with IJV thrombosis with an underlying mediastinal mass and/or generalised lymphadenopathy.
颈内静脉血栓形成在儿童中是一种严重且可能危及生命的情况，通常与恶性肿瘤、长期中心静脉置管或头颈部深部感染或创伤有关。儿童颈内静脉血栓形成与结核病相关的情况此前尚未见报道。作者描述了一名2岁儿童，该儿童出现颈内静脉血栓形成，并伴有播散性结核病的临床症状和体征。开始抗结核药物和华法林治疗后症状完全缓解。作者强调，对于有潜在纵隔肿块和/或全身淋巴结肿大的颈内静脉血栓形成患者，应常规积极排查结核病。
