Case Report
Volume: 5 | Issue: 10 | Published: Oct 21, 2021 | Pages: 301 - 304 | DOI: 10.24911/ejmcr/173-1627805342
When the blood clots unveil the infection: Venous thrombo-embolism associated with Tuberculous lymphadenitis
Authors: Wael Naeem Shaker Gadalla , Fady Zakharious , Avisek Datta
Article Info
Authors
Wael Naeem Shaker Gadalla
SpR Intensive Care and Acute Medicine, Kettering General Hospital, Kettering, UK
Fady Zakharious
AMU Consultant, Wexham Park Hospital, Slough, UK
Avisek Datta
AMU Clinical Fellow, Wexham Park Hospital, Slough, UK
Publication History
Received: August 01, 2021
Revised: August 16, 2021
Accepted: September 08, 2021
Published: October 21, 2021
Abstract
Background: Infections are risk factors for venous thromboembolism (VTE) [1]. The role of chronic infections in VTE pathogenesis, such as tuberculosis (TB), is ill defined although several case reports and small series have suggested an association between TB and VTE [2]. Case presentation: We are presenting a case of a 31-year-old male presented with shortness of breath. Computed tomography showed massive pulmoanry embolism and inferior vena cava thrombus who was therefore thoroughly investigated for an underlying condition. He was found to have significant mediastinal lymph nodes which in turn biopsed. The tissue culture of lymph node grown Mycobacterium Tuberculosis. He was treated successfully with anti tuberculous medications. Conclusion: Tubeculous lymphadenitis presented with multiple venous thromboembolism in a healthy fit and well young man. His only symptoms was shortness of breath. Improvement shown after starting antituberculous medications.
Keywords: Tuberculous lymphadenitis, pulmonary embolism, multiple venous thromboembolism, green
