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Case Report

EJMCR. 2021; 5(10): 301-304


When the blood clots unveil the infection: Venous thrombo-embolism associated with Tuberculous lymphadenitis

Wael Naeem Shaker Gadalla, Fady Zakharious, Avisek Datta.




Abstract
Cited by 0 Articles

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.

Key words: Tuberculous lymphadenitis, pulmonary embolism, multiple venous thromboembolism






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