静脉血栓栓塞症：肺结核的一种不寻常表现

Venous Thromboembolism: An Unusual Presentation of Pulmonary Tuberculosis.

作者信息

Purayil Nishan K, Sirajudeen Jaseem, Al Arbi Khaled M, Baghi Mohamed A, Zahid Muhammad

机构信息

Internal Medicine, Hamad Medical Corporation, Doha, QAT.

College of Medicine, Qatar University, Doha, QAT.

出版信息

Cureus. 2021 Mar 24;13(3):e14092. doi: 10.7759/cureus.14092.

DOI:10.7759/cureus.14092

PMID:33907638

原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC8065094/

Abstract

Tuberculosis is a leading cause of death due to infectious etiology worldwide. Myriad presentations and multisystem involvement of the disease can make the diagnosis extremely challenging. Venous thromboembolism is an uncommon entity in tuberculosis. The prevalence of venous thromboembolism is reported to be 1.5-3.4%. The etiology of thrombosis could be multifactorial. All the elements of Virchow's triad can be present in these patients. This case report is about a patient presenting with deep vein thrombosis (DVT) and pulmonary embolism (PE), who was subsequently diagnosed with active pulmonary tuberculosis.

摘要

结核病是全球因感染性病因导致死亡的主要原因之一。该疾病表现多样且累及多系统，这使得诊断极具挑战性。静脉血栓栓塞在结核病中是一种不常见的情况。据报道，静脉血栓栓塞的患病率为1.5% - 3.4%。血栓形成的病因可能是多因素的。这些患者可能存在维勒布兰德氏三联征的所有要素。本病例报告讲述的是一名出现深静脉血栓形成（DVT）和肺栓塞（PE）的患者，该患者随后被诊断为活动性肺结核。