Unexpected Multiple Organ Infarctions in a Poisoned Patient / 대한중환자의학회지
Korean Journal of Critical Care Medicine
;
: 227-230, 2015.
Article
in English
| WPRIM
| ID: wpr-33298
ABSTRACT
Predisposing factors for venous thrombosis can be identified in the majority of patients with established venous thromboembolism (VTE). However, an obvious precipitant may not be identified during the initial evaluation of such patients. In the present case, a 47-year-old female presented to the emergency department of our hospital after ingesting multiple drugs. She had no VTE-related risk factors or previous episodes, nor any family history of VTE. After admission to the intensive care unit sudden hypoxemia developed, and during the evaluation cerebral, renal, and splenic infarctions with pulmonary embolisms were diagnosed. However, the sources of the emboli could not be identified by transthoracic echocardiography or computed tomography angiography. Protein C deficiency was identified several days later. We recommend that hypercoagulable states be taken into consideration, especially when unexplained thromboembolic events develop in multiple or unusual venous sites.
Full text:
Available
Index:
WPRIM (Western Pacific)
Main subject:
Pulmonary Embolism
/
Splenic Infarction
/
Angiography
/
Echocardiography
/
Causality
/
Risk Factors
/
Thrombophilia
/
Venous Thrombosis
/
Protein C Deficiency
/
Emergency Service, Hospital
Type of study:
Etiology study
/
Prognostic study
/
Risk factors
Limits:
Female
/
Humans
Language:
English
Journal:
Korean Journal of Critical Care Medicine
Year:
2015
Type:
Article
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